Individual
JESSICA E GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301
(601) 483-6211
(601) 482-3263
Mailing address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301
(601) 483-6211
(601) 482-3623
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19821
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06527227
—
MS
Enumeration date
05/21/2007
Last updated
07/28/2017
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