Individual provider · Type 1 NPI

Shavonne L. Gordon, LPN

Licensed Practical Nurse · Breaux Bridge, LA

NPI number 1144917592 Active

Practice location

648 Latiolais Rd
Breaux Bridge, LA 70517-4231

Fax (337) 332-4866

Mailing address

2308 Coteau Rd
New Iberia, LA 70560-9172

Other practice locations

  • 2308 Coteau Rd, New Iberia, LA 70560-9172 · (337) 339-0858

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X210430 (LA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1144917592

Shavonne L. Gordon, LPN's National Provider Identifier is 1144917592, issued on Apr 18, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Breaux Bridge, LA. The record was last updated on Apr 18, 2023.