Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Juanita Ann Gardner, PA-C

Individual provider Physician Assistant · NPI 1679907802

Miss. Juanita Ann Gardner, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1505 Race St Mail Stop 503
Philadelphia, PA 19102-1119
Phone: (215) 762-3083
Fax: (215) 762-1164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA001936L (PA)

Record details

NPI number1679907802
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2013
Last updated in NPPESAugust 23, 2013

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