JODY LYNN GORDON ARNP NPI 1255002614

NPI Information

NPI: 1255002614
Provider Name: JODY LYNN GORDON, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1111 6TH AVE
DES MOINES, IA
ZIP 50314
Phone: (515) 643-2071
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Jody Lynn Gordon, ARNP is a family nurse practitioner in Des Moines, IA. Jody Lynn Gordon, ARNP NPI is 1255002614. 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:

1111 6TH AVE
DES MOINES, IA
ZIP 50314-613
Phone: (515) 643-2071

The enumeration date for this NPI number is 9/24/2021 and was last updated on 9/30/2021.

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	363LF0000X	Nurse Practitioner	Family	A165803	IOWA	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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