Joy L Gardner, RN

Individual provider Active NPI School Registered Nurse · Clinton, LA

NPI 1982834792 · NPPES record last updated Jul 15, 2009

Key facts

NPI
1982834792
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN093984 (LA)
Practice address
11990 Jackson St.
Clinton, LA 70722
Phone
(225) 683-5292
Fax
(225) 683-4354
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN093984LAMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN093984 LA Yes

Addresses

Primary practice location

11990 Jackson St.
Clinton, LA 70722

Mailing address

12270 Feliciana Dr.
Clinton, LA 70722
Phone (225) 683-5410

Other providers in Clinton, LA

All providers in Clinton, LA · School Registered Nurse in Louisiana

Sources for this page

Verify at the official NPI Registry.