PROFESSIONAL HEALTH SERVICES
NPI 1285806422
Nurse Practitioner - Family in West Frankfort, IL

Q: What is Stacy Gardner's NPI number?

The NPI number for Stacy Gardner is 1285806422. It was assigned to this organization in the NPPES registry on March 27, 2008. The provider is doing business as Professional Health Services.

Q: What is Stacy Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Gardner was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2008

410 W SAINT LOUIS ST, WEST FRANKFORT, IL 62896(618) 932-2200(618) 932-2202 Get Directions Write a Review

NPPES record last updated: August 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Professional Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL HEALTH SERVICES (NPI 1285806422) is a healthcare organization registered as a family in West Frankfort, Illinois and active in the NPI registry since March 2008. The organization lists Stacy Gardner, Family Nurse Practitioner/ Owner, as its authorized official.

NPPES Registry Identity

NPI1285806422

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSTACY GARDNER

Location Address410 W SAINT LOUIS STWest Frankfort, IL 62896-1956

Mailing Address410 W Saint Louis StWest Frankfort, IL 62896-1956 · (618) 932-2200 · Fax (618) 932-2202

Phone(618) 932-2200

Fax(618) 932-2202

Organization SubpartNo

Authorized OfficialStacy GardnerFamily Nurse Practitioner/ Owner · (618) 932-2200

Enumeration DateMarch 27, 2008

Last NPPES UpdateAugust 17, 2009

✔ NPI 1285806422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License 209007026 (IL)

410 W SAINT LOUIS ST, West Frankfort, IL 62896

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Other Names 1

Doing Business AsProfessional Health Services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Gardner's NPI number?

The NPI number for Stacy Gardner is 1285806422. It was assigned to this organization in the NPPES registry on March 27, 2008. The provider is doing business as Professional Health Services.

Where is Stacy Gardner located?

Stacy Gardner is located at 410 W Saint Louis St, West Frankfort, IL 62896. The listed phone number is (618) 932-2200.

What is Stacy Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacy Gardner was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.