NPI 1912461534
Jessica Marie Gardner
Practice location
- Address
- 1114 Central Ave, Fort Dodge, IA 50501-4004
- Phone
- (515) 573-3431
- Fax
- (515) 573-3431
- Mailing address
- 919 S 29th St, Fort Dodge, IA 50501-6332
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1912461534
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jan 2019
- Record last updated
- 28 Jan 2019
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.