Individual
DARYL J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1122 NORTH ST, JIM THORPE, PA 18229-1717
(484) 526-6545
Mailing address
1122 NORTH ST, JIM THORPE, PA 18229-1717
(484) 526-6545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP010668
PA
363LF0000X
Family Nurse Practitioner
Primary
SP010668
PA
Other
Enumeration date
01/05/2010
Last updated
09/29/2025
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