Individual provider · Type 1 NPI
Jerlena T. Gordon, APRN-BC
Psychiatric/Mental Health Nurse Practitioner · Memphis, TN
NPI number
1164590253
Active
Practice location
3810 Winchester Rd, Southeast Mental Health Center
Memphis, TN 38118-6045
Fax (901) 369-1433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26679 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1164590253
Jerlena T. Gordon, APRN-BC's National Provider Identifier is 1164590253, issued on Nov 30, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Memphis, TN. The record was last updated on Jul 10, 2007.