Individual
JENNA T GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14866 OCEAN HWY, PAWLEYS ISLAND, SC 29585-4801
(843) 900-0777
(843) 900-0780
Mailing address
14866 OCEAN HWY, PAWLEYS ISLAND, SC 29585-4801
(843) 900-0777
(843) 900-0780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25416
SC
Other
Enumeration date
02/07/2022
Last updated
02/28/2022
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