person
Tiffany Hicks Gardner, APRN
Family Nurse Practitioner in Carbondale, Illinois
NPI 1457823056

Tiffany Hicks Gardner is a Family Nurse Practitioner based in Carrier Mills, IL and is specialized in Family. Tiffany Hicks Gardner practices in Carbondale, IL and has the professional credentials of APRN. The NPI Number for Tiffany Hicks Gardner is 1457823056 and holds a License No. 209017781 (Illinois).

The current practice location address for Tiffany Hicks Gardner is 1155 Cedar Ct, Carbondale, IL and can be reached out via phone at 618-490-1045.

Location: 1155 Cedar Ct, Carbondale, IL, 62917-0423
person
Provider Profile Details
NPI Number
1457823056
Provider Name
Tiffany Hicks Gardner
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1155 Cedar Ct, Carbondale, IL, 62917-0423
Phone Number
618-490-1045
Fax Number
Provider Enumeration Date
12/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1155 Cedar Ct
City
State
Zip
62901-5333
Phone Number
618-490-1045
Fax Number
person
Provider Business Mailing Address Details
Address
1155 Cedar Ct
City
State
Zip
62901-5333
Phone Number
618-490-1045
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209017781 (Illinois)
Definition
Definition to come...
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