NPI 1003560277

Jenna Gloria Gardner, CAA

Practitioner Anesthesiologist Assistant Fort Wayne, IN

Practice location

Address: 10315 Dawsons Creek Blvd STE Ab, Fort Wayne, IN 46825-1912
Phone: (260) 436-7875
Mailing address: PO Box 843603, Dallas, TX 75284-3603

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 75000170A (IN)

Other Anesthesiologist Assistant providers in Indiana →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence AA2000022 (DC)

Registry record

NPI: 1003560277
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2022
Record last updated: 6 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.