Individual
NICHOLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
603 E LAMAR ST, AMERICUS, GA 31709-3737
(229) 928-3444
Mailing address
603 E LAMAR ST, AMERICUS, GA 31709-3737
(229) 928-3444
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN185417
GA
Other
Enumeration date
10/02/2024
Last updated
10/03/2024
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