NPI 1972481489
Jessica R Gardner, RDHPHDH
Practice location
- Address
- 225 Richmond Ave E STE B, Mattoon, IL 61938-4651
- Phone
- (217) 235-8000
- Fax
- (217) 235-0801
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1972481489
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Aug 2025
- Record last updated
- 22 Aug 2025
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.