person
Gina Lisette Gardner, NP
Primary Care Nurse Practitioner in Saint Louis, Missouri
NPI 1295364594

Gina Lisette Gardner is a Primary Care Nurse Practitioner based in Saint Louis, MO and is specialized in Primary Care. Gina Lisette Gardner practices in Saint Louis, MO and has the professional credentials of NP. The NPI Number for Gina Lisette Gardner is 1295364594 and holds a License No. A158361 (Missouri).

The current practice location address for Gina Lisette Gardner is 915 N Grand Blvd, Saint Louis, MO and can be reached out via phone at 314-652-4100.

Location: 915 N Grand Blvd, Saint Louis, MO, 63106-1621
person
Provider Profile Details
NPI Number
1295364594
Provider Name
Gina Lisette Gardner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
915 N Grand Blvd, Saint Louis, MO, 63106-1621
Phone Number
314-652-4100
Fax Number
Provider Enumeration Date
04/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
915 N Grand Blvd
City
State
Zip
63106-1621
Phone Number
314-652-4100
Fax Number
person
Provider Business Mailing Address Details
Address
915 N Grand Blvd
City
State
Zip
63106-1621
Phone Number
314-652-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
A158361 (Iowa)
Definition
Definition to come...
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