Julie Gardner, FNP | |
971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 | |
(601) 982-3202 | |
Not Available |
Full Name | Julie Gardner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 971 Lakeland Dr Ste 1460, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396253241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 902476 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Merit Health River Oaks | Flowood, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Surgical Clinic Pllc | 9335221464 | 17 |
Entity Name | Lakeland Surgical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649499740 PECOS PAC ID: 9335221464 Enrollment ID: O20080129000380 |
Mailing Address | Practice Location Address |
---|---|
Julie Gardner, FNP 104 Granfield Ct, Canton, MS 39046-5523 Ph: (601) 278-1535 | Julie Gardner, FNP 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 Ph: (601) 982-3202 |
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