AMY D'ANN GORDON ACNP NPI 1164798989

NPI Information

NPI: 1164798989
Provider Name: AMY D'ANN GORDON, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: COVENANT MEDICAL GROUP

PECOS Registration: Yes

Address:
3506 21ST ST
SUITE 607
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-4134
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Amy D'ann Gordon, ACNP is an acute care nurse practitioner in Lubbock, TX with 13 years of experience. Amy D'ann Gordon, ACNP NPI is 1164798989. 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:

3506 21ST ST
SUITE 607
LUBBOCK, TX
ZIP 79410-212
Phone: (806) 725-4134
Fax: (806) 723-7803

The NPI 1164798989 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2012 and was last updated on 4/15/2014.

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	363LA2100X	Nurse Practitioner	Acute Care	632065	TEXAS	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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