Stacy Gardner
Stacy Gardner is a Rural Health Clinic/Center in West Frankfort, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
410 W Saint Louis StWest Frankfort, IL 62896-1956
Phone: (618) 932-2200
Fax: (618) 932-2202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|---|
| Rural Health Clinic/Center | Taxonomy 261QR1300X · Licence 209007026 (IL) |
Record details
| NPI number | 1285806422 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacy Gardner — Family Nurse Practitioner/ Owner · (618) 932-2200 |
| Other names | Professional Health Services |
| NPI enumerated | March 27, 2008 |
| Last updated in NPPES | August 17, 2009 |
| Mailing address | 410 W Saint Louis St, West Frankfort, IL 62896-1956 |
Other providers in West Frankfort
-
Health Plan of Southern Illinois, Inc
309 W Saint Louis St, West Frankfort, IL 62896-2099 · (618) 937-3526
-
Heartland Women's Healthcare Ltd
215 N Logan St Ste A, West Frankfort, IL 62896-2314 · (618) 997-5266
-
Logan Primary Care Service Corp
502 W St Louis, West Frankfort, IL 62896 · (618) 997-3400
-
Southern Illinois Medical Services, Nfp
502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 · (618) 997-3400