Jessica B. Gardner, MD

Pediatrics Physician · Crestview Hills, KY

Individual Active NPI

NPI number 1699237248

Practice location

2865 Chancellor Dr Ste 120
Crestview Hills, KY 41017-3915
Phone
(859) 341-5400
Fax
(859) 578-3172

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NPI record

NPI
1699237248
Entity type
Individual (Type 1)
Enumeration date
April 3, 2019
Last updated
October 23, 2022
Certified
October 23, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 56641 KY
Pediatrics Physician 208000000X 35.144445 OH
Student in an Organized Health Care Education/Training Program 390200000X — —

About Dr. Gardner

Jessica B. Gardner, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2865 Chancellor Dr Ste 120, Crestview Hills, KY 41017-3915. The NPI number 1699237248 was assigned on April 3, 2019 and the record was last updated on October 23, 2022.

Dr. Gardner lists 2 licenses in the registry: #56641 (KY) for Pediatrics Physician; #35.144445 (OH) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica B. Gardner, MD?

The NPI number is 1699237248.

What is the phone number of Dr. Gardner?

The phone number listed for the practice location is (859) 341-5400.

Where is Dr. Gardner located?

2865 Chancellor Dr Ste 120, Crestview Hills, KY 41017-3915.

What is the taxonomy code for Dr. Gardner?

The primary taxonomy code is 208000000X – Pediatrics Physician; 2 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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