Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Gardenier

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164712162

Jason Gardenier is a Student in an Organized Health Care Education/Training Program in Vienna, Virginia. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

115 Saint Andrews Dr NE
Vienna, VA 22180-3660
Phone: (703) 389-3020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164712162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2011
Last updated in NPPESApril 11, 2011
Mailing address115 Saint Andrews Dr Ne, Vienna, VA 22180-3660

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