Individual
JASON L GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, RDN, LDN, CHES
Contact information
Practice address
760 VELMA ST, MEMPHIS, TN 38104-5245
(662) 801-6208
Mailing address
760 VELMA ST, MEMPHIS, TN 38104-5245
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5327
TN
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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