Individual
MARY ELLEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
18906 OLD 24, WOODBURN, IN 46797-9048
(260) 493-8141
(260) 493-8181
Mailing address
18906 OLD 24, WOODBURN, IN 46797-9048
(260) 493-8141
(260) 493-8181
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71012009B
IN
363LF0000X
Family Nurse Practitioner
Primary
RN265977
OH
Other
Enumeration date
09/29/2016
Last updated
04/01/2026
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