Stacy Gardner
NPI #1285806422 in West Frankfort, Illinois
Provider Information
- NPI Number
- 1285806422
- Entity Type
- Organization
- Organization Name
- Stacy Gardner
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 27, 2008
- Last Updated
- Aug 17, 2009
Practice Location
- Address
- 410 W SAINT LOUIS ST
- City
- West Frankfort
- State
- Illinois
- ZIP Code
- 62896-1956
- Phone
- (618) 932-2200
Authorized Official
- Name
- STACY GARDNER, FNP-BC
- Title
- FAMILY NURSE PRACTITIONER/ OWNER
- Phone
- (618) 932-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
| Nurse Practitioner - Family — Family |
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