Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEANNETTE GARDNER MD
NPI 1437770393
Internal Medicine in Peoria, IL

Active since May 01, 2020
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 29, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Jeannette Gardner Md NPPES

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

JEANNETTE GARDNER MD (NPI 1437770393) is an individual internal medicine provider in Peoria, Illinois, licensed in Illinois (125080868) and active in the NPI registry since May 2020. She maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1437770393
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJEANNETTE GARDNERCredential: MD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637 · (502) 852-8696
Sole ProprietorNo
Enumeration DateMay 1, 2020
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1437770393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 125080868
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 125080868 (IL), ME182651 (FL)
530 NE GLEN OAK AVE, Peoria, IL 61637

Secondary Practice Location 1

Location 112871 Citrus Plaza DrTampa, FL 33625-3010 · Phone (813) 471-4445 · Fax (813) 343-5022

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Jeannette Gardner's NPI number?

The NPI number for Jeannette Gardner is 1437770393. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Jeannette Gardner located?

Jeannette Gardner practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.

What is Jeannette Gardner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jeannette Gardner was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.