Individual
JOHN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
408 VIRGINIA ST, PARIS, TN 38242-5341
(731) 642-0521
(731) 642-1010
Mailing address
PO BOX 30, PARIS, TN 38242-0030
(731) 642-0521
(731) 642-1010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN24180
TN
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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