Individual
MRS. NICOLE DENISE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
248 PLEASANT ST STE G100, CONCORD, NH 03301-2588
(603) 230-1970
(603) 227-7573
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-2598
(603) 227-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1688
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/31/2019
Last updated
02/21/2024
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