MRS. JESSICA SUE GORDON AT NPI 1255580692

NPI Information

NPI: 1255580692
Provider Name: MRS. JESSICA SUE GORDON, AT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
417 W MAIN ST
SUITE B
TRUMANN, AR
ZIP 72472
Phone: (870) 483-7039
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MRS. Jessica Sue Gordon, AT is a mental health counselor in Trumann, AR. MRS. Jessica Sue Gordon, AT NPI is 1255580692. 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:

417 W MAIN ST
SUITE B
TRUMANN, AR
ZIP 72472-116
Phone: (870) 483-7039
Fax: (870) 483-0590

The enumeration date for this NPI number is 9/10/2008 and was last updated on 9/10/2008.

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	101YM0800X	Counselor	Mental Health		ARKANSAS	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: 11/14/2023

NPI Synchronization or Removal

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