Individual provider · Type 1 NPI

Kelly Marie Gordon, APRN

Psychiatric/Mental Health Nurse Practitioner · Weeki Wachee, FL

NPI number 1194349019 Active

Practice location

10220 Yale Ave
Weeki Wachee, FL 34613-8375

Fax (352) 600-8883

Other practice locations

  • 136 Madison Ave, New York, NY 10016-6711 · (352) 600-8822
  • 450 Alaskan Way S Ste 200, Seattle, WA 98104-2785 · (360) 358-7833
  • 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 · (352) 600-8822

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XARNP.AP.70130802-NP (WA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11007511 (FL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XC-RXN.0103332-C-NP (CO)
Family Nurse Practitioner 363LF0000XAPRN11007511 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1194349019

Kelly Marie Gordon, APRN's National Provider Identifier is 1194349019, issued on Jun 5, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Weeki Wachee, FL. The record was last updated on Sep 11, 2026.