Individual
TUNDIKE GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, FNP
Contact information
Practice address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(972) 765-7168
Mailing address
1614 MINERAL SPRINGS DR, ALLEN, TX 75002-0616
(972) 765-7168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202109011NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP123999
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20211168NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP-C NUMBER: F061387
NP-C NUMBER: F0613870
TX
Enumeration date
07/10/2013
Last updated
10/07/2021
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