Jenna Gloria Gardner, CAA
Anesthesiologist Assistant · Fort Wayne, IN
Practice location
10315 Dawsons Creek Blvd Ste AbFort Wayne, IN 46825-1912
- Phone
- (260) 436-7875
NPI record
- NPI
- 1003560277
- Entity type
- Individual (Type 1)
- Enumeration date
- February 7, 2022
- Last updated
- February 6, 2024
- Certified
- February 6, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X |
75000170A | IN |
| Anesthesiologist Assistant | 367H00000X |
AA2000022 | DC |
Mailing address
PO Box 843603Dallas, TX 75284-3603
- Phone
- (972) 233-1999
About Jenna Gardner
Jenna Gloria Gardner, CAA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912. The NPI number 1003560277 was assigned on February 7, 2022 and the record was last updated on February 6, 2024.
Jenna Gardner lists 2 licenses in the registry: #75000170A (IN) for Anesthesiologist Assistant; #AA2000022 (DC) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jenna Gloria Gardner, CAA?
The NPI number is 1003560277.
What is the phone number of Jenna Gardner?
The phone number listed for the practice location is (260) 436-7875.
Where is Jenna Gardner located?
10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912.
What is the taxonomy code for Jenna Gardner?
The primary taxonomy code is 367H00000X – Anesthesiologist Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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