Individual
MS. BARBARA JEAN GORDON
Active
Individual
MS. BARBARA JEAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN219067L
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
UP003277C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500001498
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039833
MEDICARE GROUP
PA
Enumeration date
03/22/2006
Last updated
03/12/2021
Update your record
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