MRS. CRYSTAL GORDON FNP-C NPI 1215732177

NPI Information

  • NPI: 1215732177
  • Provider Name: MRS. CRYSTAL GORDON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 95 GRAY LN
    EVERGREEN, NC
    ZIP 28438
  • Phone: (910) 640-7159

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NPI Details

MRS. Crystal Gordon, FNP-C is a family nurse practitioner in Evergreen, NC. MRS. Crystal Gordon, FNP-C NPI is 1215732177. 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:

95 GRAY LN
EVERGREEN, NC
ZIP 28438-008
Phone: (910) 640-7159

The enumeration date for this NPI number is 2/14/2025 and was last updated on 10/9/2025.

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
1363LF0000XNurse PractitionerFamily5023063NORTH CAROLINAYes

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: 11/21/2025

NPI Synchronization or Removal

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