Individual provider · Type 1 NPI

Shelby Lynn Gordon, NP-C

Primary Care Nurse Practitioner · Madison, AL

NPI number 1073744280 Active

Practice location

5510 Promenade Point Pkwy NW # 160
Madison, AL 35758-6702

Fax (256) 993-3096

Mailing address

PO Box 830525, DEPT# Owc 24
Birmingham, AL 35283-0525

Other practice locations

  • 6308 Adams Park Dr, Columbus, GA 31909-3528 · (229) 942-8289

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X1-163097 (AL)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1073744280

Shelby Lynn Gordon, NP-C's National Provider Identifier is 1073744280, issued on Aug 5, 2009. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Madison, AL. The record was last updated on Dec 16, 2024.