Tabitha Jenell Gardner, APN

NPI #1093254443 in Wauconda, Illinois

Provider Information

NPI Number: 1093254443
Entity Type: Individual
Name: Tabitha Jenell Gardner, APN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: APN
Enumeration Date: Feb 17, 2017
Last Updated: Dec 10, 2025

Practice Location

Address: 431 W LIBERTY ST
City: Wauconda
State: Illinois
ZIP Code: 60084-2452
Phone: (847) 526-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X	Primary

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