Individual provider · Type 1 NPI
Keisha-Ann Gordon-Primus, FNP-BC
Psychiatric/Mental Health Nurse Practitioner · St. Petersburg, FL
NPI number
1093196537
Active
Practice location
7901 4th St N Ste 300
St. Petersburg, FL 33702-4399
Fax (407) 987-6560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN9231746 (FL) |
| Family Nurse Practitioner | 363LF0000X | ARNP9231746 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093196537
Keisha-Ann Gordon-Primus, FNP-BC's National Provider Identifier is 1093196537, issued on Jun 10, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 20, 2026.