| Doctor Name: | MRS. JACINTA ANNE GARDNER |
| NPI Number: | 1205064375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN MSN ACNP |
| License Number: | 430456 |
| Business Practice Address: | 34 Plains Rd Honeoye Falls, NY - 144729007 |
| Business Phone Number: | 5856244532 |
| Business Fax Number: | |
| Mailing Address: | 34 Plains Rd, HONEOYE FALLS |
| State: | NY |
| Postal Code: | 14472 |
| Phone Number: | 5856244532 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2009 |
| NPI Last Update Date: | 06/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 430456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |