| Jennifer Pauline Gardner, FNP | |
|
217 Division Ave, Eugene, OR 97404-5429 | |
| (541) 780-6654 | |
| Not Available |
| Full Name | Jennifer Pauline Gardner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 217 Division Ave, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235908567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10023094 (Oregon) | Primary |
| 163W00000X | Registered Nurse | 202005793 (Oregon) | Secondary |
| Entity Name | Pacific Sports And Interventional Spine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881186336 PECOS PAC ID: 3072867316 Enrollment ID: O20181126002029 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Pauline Gardner, FNP 557 Honeysuckle Ln, Eugene, OR 97401-5308 Ph: (541) 954-1173 | Jennifer Pauline Gardner, FNP 217 Division Ave, Eugene, OR 97404-5429 Ph: (541) 780-6654 |
Dr. Barbara Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 995 Willagillespie Rd # 100, Eugene, OR 97401 Phone: 541-484-5437 | |
Lindsey Wilson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Coburg Rd Ste 201, Eugene, OR 97401 Phone: 541-687-8581 Fax: 541-343-1411 | |
Kennedy Ogbonna Anyanwu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 66 Club Rd Ste 120, Eugene, OR 97401 Phone: 832-267-6258 | |
Laurie C Carmichael, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 440, Eugene, OR 97401 Phone: 458-205-6061 Fax: 541-687-6067 | |
Mrs. Christy J. Green, PMHNP-BC; FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Pearl St Ste 102, Eugene, OR 97401 Phone: 541-687-2063 | |
Mrs. Nelda Ogden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4010 Aerial Way, Eugene, OR 97402 Phone: 541-242-8300 Fax: 541-242-8335 | |
Jonathan Shaw, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 Coburg Rd Unit 502, Eugene, OR 97401 Phone: 888-468-9669 Fax: 541-632-4850 |