TIFFANY HICKS GARDNER

CARBONDALE, IL
NPI1457823056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209017781)
Enumeration Date2018-12-19
Last Update Date2018-12-19
Business Address
TIFFANY HICKS GARDNER APRN
1155 CEDAR CT
CARBONDALE, IL 62901-5333
Phone number: 618-490-1045
Mailing Address
TIFFANY HICKS GARDNER APRN
PO BOX 423
CARRIER MILLS, IL 62917-0423
Phone number: 618-499-2307
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