MISS JENNIFER L GARDNER (NPI# 1548527740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548527740 |
| Entity Type | Individual |
| Full Name | MISS JENNIFER L GARDNER |
| Credential | LPN |
| Practice Address |
713 Mather St Green Bay WI 54303-3559 |
| Practice Telephone | 9203091486 |
| Mailing Telephone | 9203091486 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 312658-31 | WI | Nursing Service Providers |
| N | 374U00000X | Home Health Aide | 291818 | WI | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 291818 | WI | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979516 | Jennifer Anne Gardner | Nurse Practitioner | 1385 Park View Dr Ste 101, Twin Falls, ID 83301-4390 | 2020-10-13 |
| 1982176327 | Jennifer Ercle Gardner | Registered Nurse | 391 Denning Rd, Copenhagen, NY 13626-3403 | 2018-12-26 |
| 1578938635 | Jennifer Laurel Gardner | Social Worker | 3100 Richmond Ave Ste 403, Houston, TX 77098 | 2015-12-01 |
| 1861814576 | Jennifer Johnson Gardner | Pharmacist | 23988 Highway 99 W, Junction City, OR 97448-9202 | 2014-01-15 |
| 1073863569 | Jennifer Gardner | Physical Therapy Assistant | 1901 Tate Springs Rd Suite 16, Lynchburg, VA 24501 | 2012-09-12 |
| 1336452408 | Jennifer T Gardner | Counselor | 5402 Swallow Dr, Land O Lakes, FL 34639 | 2010-07-19 |
| 1417192444 | Jennifer G Gardner | Nurse Practitioner | 528 Cecilia Cove Dr, Charleston, SC 29412-4962 | 2008-12-04 |
| 1689827966 | Jennifer L Gardner | Registered Nurse | 14 Great Plain Road, Arapahoe, WY 82510 | 2008-10-30 |
| 1447450622 | Jennifer R Gardner | Internal Medicine | 2301 South Lamar, Suite 100, Oxford, MS 38655 | 2007-07-25 |
| 1144274978 | Jennifer Gardner | Social Worker | 22 Woburn St, Suite 36, Reading, MA 01867-3026 | 2006-05-19 |
| Street Address |
713 MATHER ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412125 | Melinda Sue Trinkner | Licensed Practical Nurse | 1012 Forest Hill Dr, Green Bay, WI 54311-5930 | 2019-05-17 |
| 1295295483 | Anna Lee Kolb | Licensed Practical Nurse | 1061 Kellogg St, Green Bay, WI 54303-2968 | 2019-03-22 |
| 1124515861 | Celia M Diehl | Licensed Practical Nurse | 2124 Orrie Ln, Green Bay, WI 54304-4345 | 2018-04-18 |
| 1366980583 | Peggy Stewart | Licensed Practical Nurse | 1547 Russell St, Green Bay, WI 54304-3013 | 2017-02-08 |
| 1114475712 | Amy Mueller | Licensed Practical Nurse | 1525 Rosalie Ln, Green Bay, WI 54304-2926 | 2016-09-13 |
| 1285021592 | Bobbi Schaetz | Licensed Practical Nurse | 2610 Gemini Rd, Green Bay, WI 54311-4610 | 2015-04-24 |
| 1790173698 | Susan Johnson | Licensed Practical Nurse | 2697 Hillside Heights Dr, Green Bay, WI 54311-6774 | 2014-12-30 |
| 1619370178 | Paula Jean Boehm | Licensed Practical Nurse | 1663 Birchwood Dr, Green Bay, WI 54304-2936 | 2014-09-29 |
| 1518398999 | Rexann Hammons | Licensed Practical Nurse | 605 W Briar Ln, Apt 223, Green Bay, WI 54301-1367 | 2013-12-10 |
| 1700212255 | Jessica Barszcz | Licensed Practical Nurse | 3066 W Point Rd, Green Bay, WI 54313-5442 | 2013-09-16 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on MISS JENNIFER L 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.