HOLLY JOY GARDNER (NPI# 1174877112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174877112 |
| Entity Type | Individual |
| Full Name | HOLLY JOY GARDNER |
| Credential | FNP |
| Practice Address |
96 Jonathan Lucas St Charleston SC 29425-8900 |
| Mailing Address |
726 Spark St Mount Pleasant SC 29464-2611 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 3157277270 |
| Mailing Fax Number | 8438761220 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17969 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073991253 | Holly Gardner | Licensed Practical Nurse | 356 Pine Creek Ct, Waterford, MI 48327-1586 | 2015-05-08 |
| 1619332467 | Holly Gardner | Registered Nurse | 525 E 15th St, Panama City, FL 32405-5412 | 2015-12-21 |
| 1679969620 | Holly Gardner | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2015-04-07 |
| 1588062194 | Holly Gardner | Nurse's Aide | 7395 W Eastman Pl, Lakewood, CO 80227-5006 | 2014-12-12 |
| 1396788709 | Holly A Gardner | Emergency Medicine | 1701 N Senate Blvd, Er Dept, Indianapolis, IN 46202-1239 | 2006-06-14 |
| Street Address |
96 JONATHAN LUCAS ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933193 | Emmie Elizabeth Steadman | Nurse Practitioner | 96 Jonathan Lucas St, Suite 424, Charleston, SC 29425-8900 | 2005-12-15 |
| 1629687843 | Mattia Rosso | Psychiatry & Neurology | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2020-07-23 |
| 1962049429 | Christina Marie Thomas | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8911 | 2019-12-04 |
| 1467094920 | Farah Flaitz Stokes | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-10-16 |
| 1518526565 | Emily Katherine Depue | Physician Assistant | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-06-12 |
| 1093374621 | Anna Y Bashmakov | Psychiatry & Neurology | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-06-07 |
| 1396309951 | Amanda Marie Jones | Physician Assistant | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-04-29 |
| 1053872150 | Elizabeth Bunch Wachowicz | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-03-29 |
| 1689135865 | Annemarie Leveen Roncancio | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-03-28 |
| 1548746803 | Ismail Mikdat Kabakus | Radiology | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1043822216 | Amber Bagwell | Nurse Practitioner | 442 King St Fl 2, Charleston, SC 29403-6230 | 2020-08-19 |
| 1790396273 | Amanda Jo Grant | Nurse Practitioner | 2207 Seneca Dr, Charleston, IL 61920-3836 | 2020-08-10 |
| 1811514961 | Isabel Margarita Lemasters | Nurse Practitioner | 3226 Moonlight Dr, Charleston, SC 29414-8052 | 2020-07-05 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1770123929 | Catherine A. Woods | Nurse Practitioner | 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 | 2020-01-15 |
| 1104464999 | Brittany D Griffith | Nurse Practitioner | 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 | 2019-12-12 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1124660774 | Dennis Robert Moore | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 | 2019-10-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
Please comment or provide details below to improve the information on HOLLY JOY GARDNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.