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Individual

DR. DEVON CORDELIA GORDON-LYLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPNP-BC, CCRN

Contact information

Practice address
157 SHEPARD AVE, TEANECK, NJ 07666-6157
(201) 937-6516
Mailing address
157 SHEPARD AVE, TEANECK, NJ 07666-6157
(201) 937-6516

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ15075500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F311813-01
NY

Other

Enumeration date
05/22/2024
Last updated
03/27/2025
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