Jennifer Ercle Gardner, RN,IBCLC
Registered Nurse, Lactation Consultant in Copenhagen, NY. Individual provider (NPI-1).
NPI number1982176327
StatusActive
Last updated in NPPESDec 26, 2018
Details
- NPI
- 1982176327
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Ercle Gardner
- Credential
- RN,IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2018
- Last updated
- Dec 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WL0100X | Registered Nurse, Lactation Consultant | L-151282 | NY | Yes |
Practice location
391 Denning RdCopenhagen, NY 13626-3403
Phone 315-778-6280
Mailing address
391 Denning RdCopenhagen, NY 13626-3403
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