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Individual
MELVA JEANNE GORDON
Active
Individual
MELVA JEANNE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP 9400274
FL
163W00000X
Registered Nurse
RN.254002-COA1
OH
208D00000X
General Practice Physician
APRN9400274
FL
363LF0000X
Family Nurse Practitioner
Primary
9400274
FL
Other
Enumeration date
03/13/2015
Last updated
11/28/2021
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