Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TABITHA JENELL GARDNER, APN
ActiveTABITHA JENELL GARDNER, APN is a Nurse Practitioner healthcare provider located in WAUCONDA, Illinois. NPI 1093254443 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · WAUCONDA, IL
Registration Details
- NPI Number
- 1093254443
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2017 (9.4506925312524 yrs)
- Last Updated
- Dec 10, 2025
- Licenses
-
209015188 (IL)0024182795 (VA)27517 (TN)GAA-NP001979 (GA)
Practice Information
- Address
-
431 W LIBERTY STWAUCONDA, IL, 600842452Browse IL providers · Browse ZIP 60084
- Phone
- 8475262151
- Fax
- 8475262017
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Other Nurse Practitioner Providers in WAUCONDA, IL
| Name | Credential | NPI |
|---|---|---|
| REBECCA LAMBO | — | 1144626995 |
| MALLORY IVERSON | APN | 1366818692 |
| MRS. PAMELA BASAS MALDA | NP | 1891238200 |
| MICHELLE NAURECKI | APN | 1841718087 |
| HAZEL ACACIO | APNP | 1205471679 |
| BETH ANN KIRBY | APN | 1912652736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.