Individual
MRS. MANDY DAWN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7726
Mailing address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A003908
AR
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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