MISS JUANITA ANN GARDNER PA-C
NPI 1679907802
Physician Assistant in Philadelphia, PA

Active since August 23, 2013
1505 RACE ST, MAIL STOP 503, PHILADELPHIA, PA 19102(215) 762-3083(215) 762-1164 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Juanita Ann Gardner Pa-c NPPES

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

MISS JUANITA ANN GARDNER PA-C (NPI 1679907802) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA001936L) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1679907802
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS JUANITA ANN GARDNERCredential: PA-C
Location Address1505 RACE ST, MAIL STOP 503Philadelphia, PA 19102-1119
Mailing Address1505 Race St, Mail Stop 503Philadelphia, PA 19102-1119 · (215) 762-3083 · Fax (215) 762-1164
Fax(215) 762-1164
Sole ProprietorNo
Enumeration DateAugust 23, 2013
NPI 1679907802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA001936L
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1505 RACE ST, Philadelphia, PA 19102

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
1505 RACE ST, 4TH FLOOR-403
PHILADELPHIA, PA 19102
Psychologist (Clinical)
1505 RACE ST, ROOM 306 A PSYCHOLOGY
PHILADELPHIA, PA 19102
Counselor (Professional)
1505 RACE ST
PHILADELPHIA, PA 19102
Marriage & Family Therapist
1505 RACE ST, MAIL STOP 905, 4TH FLOOR, SUITE 403-, BELLET BUILDING
PHILADELPHIA, PA 19102
Internal Medicine
1505 RACE ST, 6TH FLOOR
PHILADELPHIA, PA 19102

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 Juanita Gardner's NPI number?

The NPI number for Juanita Gardner is 1679907802. It was assigned to this individual provider in the NPPES registry on August 23, 2013.

Where is Juanita Gardner located?

Juanita Gardner practices at 1505 Race St Mail Stop 503, Philadelphia, PA 19102. The listed phone number is (215) 762-3083.

What is Juanita Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Juanita Gardner was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.