Stacy Gardner

Family Nurse Practitioner · West Frankfort, IL

Organization Active NPI

NPI number 1285806422

Practice location

410 W Saint Louis St
West Frankfort, IL 62896-1956
Phone
(618) 932-2200
Fax
(618) 932-2202

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NPI record

NPI
1285806422
Entity type
Organization (Type 2)
Enumeration date
March 27, 2008
Last updated
August 17, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Nurse Practitioner Primary 363LF0000X — —
Rural Health Clinic/Center 261QR1300X 209007026 IL

Authorized official

Name
Stacy Gardner, FNP-BC
Title
Family Nurse Practitioner/ Owner
Phone
(618) 932-2200

Other names

  • Professional Health Services

About Stacy Gardner

Stacy Gardner is a healthcare organization registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 410 W Saint Louis St, West Frankfort, IL 62896-1956. The NPI number 1285806422 was assigned on March 27, 2008 and the record was last updated on August 17, 2009.

Stacy Gardner lists a license in the registry: #209007026 (IL) for Rural Health Clinic/Center. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Stacy Gardner, FNP-BC, Family Nurse Practitioner/ Owner.

Frequently asked questions

What is the NPI number of Stacy Gardner?

The NPI number is 1285806422.

What is the phone number of Stacy Gardner?

The phone number listed for the practice location is (618) 932-2200.

Where is Stacy Gardner located?

410 W Saint Louis St, West Frankfort, IL 62896-1956.

What is the taxonomy code for Stacy Gardner?

The primary taxonomy code is 363LF0000X – Family Nurse Practitioner; 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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