| NPI | 1982299301 |
|---|---|
| Professional Name | JENNICA MARLEE GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 104167604405) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2023-07-19 |