institution
Stacy Gardner
Family Nurse Practitioner in West Frankfort, Illinois
NPI 1285806422

Stacy Gardner is a Family Nurse Practitioner based in West Frankfort, IL and is specialized in Family. Stacy Gardner practices in West Frankfort, IL. The NPI Number for Stacy Gardner is 1285806422 and holds a License No. 209007026 (Illinois).

The current practice location address for Stacy Gardner is 410 W Saint Louis St, West Frankfort, IL and can be reached out via phone at 618-932-2200 and via fax at 618-932-2202.

Location: 410 W Saint Louis St, West Frankfort, IL, 62896-1956
institution
Provider Profile Details
NPI Number
1285806422
Provider Name
Stacy Gardner
Credential
Provider Entity Type
Organization
Address
410 W Saint Louis St, West Frankfort, IL, 62896-1956
Phone Number
618-932-2200
Fax Number
618-932-2202
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
410 W Saint Louis St
City
State
Zip
62896-1956
Phone Number
618-932-2200
Fax Number
618-932-2202
person
Provider Business Mailing Address Details
Address
410 W Saint Louis St
City
State
Zip
62896-1956
Phone Number
618-932-2200
Fax Number
618-932-2202
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209007026 (Illinois)
Definition
Definition to come...
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