Individual
COURTNEY RAE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 ORCHARD PARK, RIDGELAND, MS 39157-5135
(601) 957-0727
Mailing address
7048 OLD CANTON RD STE 2E, RIDGELAND, MS 39157-1021
(601) 992-9790
(601) 992-9796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903982
MS
Other
Enumeration date
07/05/2020
Last updated
05/30/2025
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