Individual
MRS. JESSICA MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5802 N 30TH ST, TAMPA, FL 33610-1469
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9184733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000186900
—
FL
01
—
WCSHV
BCBS
FL
Enumeration date
10/07/2008
Last updated
11/17/2025
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