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

Tabitha Jenell Gardner, APN

Individual provider Family Nurse Practitioner · NPI 1093254443

Tabitha Jenell Gardner, APN is a Nurse Practitioner in Wauconda, Illinois. Qualified in 2016, 10 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Illinois, Tennessee and Virginia.

Years since qualifying
10
Licensed in
GA, IL, TN, VA
In the registry since
2017
Specialties on file
4
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

431 W Liberty St
Wauconda, IL 60084-2452
Phone: (847) 526-2151
Fax: (847) 526-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Sentara Park # 3, Virginia Beach, VA 23464-5884 — (757) 252-3050

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 27517 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209015188 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024182795 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence GAA-NP001979 (GA)

Record details

NPI number1093254443
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedFebruary 17, 2017
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wauconda