Individual
TARA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP
Contact information
Practice address
735 SAUNDERSVILLE FERRY RD, MT JULIET, TN 37122-2056
(618) 803-8377
Mailing address
735 SAUNDERSVILLE FERRY RD, MT JULIET, TN 37122-2056
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
41064
TN
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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