SHELLEY MARIE GORDON NPI 1235645276

NPI Information

NPI: 1235645276
Provider Name: SHELLEY MARIE GORDON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6000 ELLENOR DR.
ORLANDO, FL
ZIP 32809
Phone: (407) 613-5555
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Shelley Marie Gordon is a family nurse practitioner in Orlando, FL. Shelley Marie Gordon NPI is 1235645276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6000 ELLENOR DR.
ORLANDO, FL
ZIP 32809
Phone: (407) 613-5555

The NPI 1235645276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 9/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2019081903	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	9279224	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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