Individual provider · Type 1 NPI

Dystine Tychena Gordon

Registered Nurse · Greensboro, NC

NPI number 1083587281 Active

Practice location

823 N Elm St
Greensboro, NC 27401

Mailing address

822 Rugby St, 822
Greensboro, NC 27406

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XON-9311-V387 (NC)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083587281

Dystine Tychena Gordon's National Provider Identifier is 1083587281, issued on Sep 25, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Greensboro, NC. The record was last updated on Sep 25, 2025.