Individual
JENNIFER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-4852
Mailing address
1425 ROCK SPRINGS CIRCLE, APT 3-1002, ATLANTA, GA 30306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN188307
GA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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