Individual provider · Type 1 NPI
Chanelle Gordon, FNP-C
Family Nurse Practitioner · St. Albans, NY
NPI number
1114462397
Active
Practice location
11816 197th St
St. Albans, NY 11412-3456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 354879 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114462397
Chanelle Gordon, FNP-C's National Provider Identifier is 1114462397, issued on Dec 27, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Albans, NY. The record was last updated on Sep 7, 2024.