Individual
JODY LYNN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-2071
Mailing address
2726 E CUTLER AVE, DES MOINES, IA 50320-2162
(515) 447-9985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A165803
IA
Other
Enumeration date
09/24/2021
Last updated
09/30/2021
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