Jerry Lee Gardner in Wheat Ridge - Licensed Practical Nurse
Jerry Lee Gardner - NPI 1649494311
Jerry Lee Gardner is a Licensed Practical Nurse in Wheat Ridge, Colorado. Jerry Lee Gardner practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Jerry Lee Gardner is 1649494311. The last update date is 2007-07-08.
Jerry Lee Gardner's current location address is 4851 Independence St, Wheat Ridge, Colorado. You can contact this provider via phone number 3034250300. The mailing address for Jerry Lee Gardner is 4851 Independence St, Wheat Ridge, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee Gardner |
|---|---|
| Address | 4851 Independence St, Wheat Ridge, Colorado |
| Phone Number | 3034250300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1649494311 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4851 Independence St |
|---|---|
| City | Wheat Ridge |
| State | Colorado (CO) |
| Post Code | 800336715 |
| Phone Number | 3034250300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 41892 |
|
Definition: 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 r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry Lee Gardner by the Centers for Medicare & Medicaid Services?
The Jerry Lee Gardner has been issued the NPI (National Provider Identifier) 1649494311, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerry Lee Gardner?
The Jerry Lee Gardner is situated at 4851 Independence St, in the city of Wheat Ridge, state of CO, with the zip code 800336715.
What is Jerry Lee Gardner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Lee Gardner is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
On what date did the Jerry Lee Gardner receive the assignment of its 1649494311 from the Centers for Medicare & Medicaid Services?
The Jerry Lee Gardner was issued its 1649494311 by the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date were the details pertaining to Jerry Lee Gardner last refreshed?
The information related to the Jerry Lee Gardner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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