Individual
MRS. SHELBY LYNN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5510 PROMENADE POINT PKWY NW # 160, MADISON, AL 35758-6702
(256) 289-8470
(256) 993-3096
Mailing address
PO BOX 830525, DEPT# OWC 24, BIRMINGHAM, AL 35283-0525
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-163097
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513630481C
—
GA
Enumeration date
08/05/2009
Last updated
12/16/2024
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