Individual
JESSICA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
8591 S BROADWAY AVE, TYLER, TX 75703-5470
(903) 596-9173
Mailing address
8591 S BROADWAY AVE, TYLER, TX 75703-5470
(903) 592-1684
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
756983
TX
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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