Provider Demographics
NPI:1295214740
Name:GEE GARDNER, JESSICA BRITTNEY (ND)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BRITTNEY
Last Name:GEE GARDNER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:BRITTNEY
Other - Last Name:GEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:PO BOX 4416
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-0042
Mailing Address - Country:US
Mailing Address - Phone:425-905-3030
Mailing Address - Fax:425-903-3478
Practice Address - Street 1:11314 4TH AVE W STE 108
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-6926
Practice Address - Country:US
Practice Address - Phone:425-905-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X, 175L00000X
WANT60897091175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No172V00000XOther Service ProvidersCommunity Health Worker
No175L00000XOther Service ProvidersHomeopath