NICOLE LYNN GORDON NPI 1033719067

NPI Information

NPI: 1033719067
Provider Name: NICOLE LYNN GORDON
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
1013 W SEMMES AVE
OSCEOLA, AR
ZIP 72370
Phone: (269) 873-0088
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Nicole Lynn Gordon is a home health aide in Osceola, AR. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Nicole Lynn Gordon NPI is 1033719067. 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:

1013 W SEMMES AVE
OSCEOLA, AR
ZIP 72370-347
Phone: (269) 873-0088

The enumeration date for this NPI number is 10/28/2020 and was last updated on 10/28/2020.

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	374U00000X	Home Health Aide				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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