Individual provider · Type 1 NPI

Chanel Gordon

Student in an Organized Health Care Education/Training Program · Edmond, OK

NPI number 1124944590 Active

Practice location

100 N University Dr
Edmond, OK 73034-5207

Call (405) 974-2000 Map

Mailing address

900 NE 122nd St Apt 415
Oklahoma City, OK 73114-9204

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124944590

Chanel Gordon's National Provider Identifier is 1124944590, issued on Jun 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edmond, OK. The record was last updated on Jun 29, 2026.