Individual provider · Type 1 NPI

Shimeal Gordon

Gerontology Nurse Practitioner · Fredericksburg, VA

NPI number 1194568683 Active

Practice location

9530 Cosner Dr Ste 200
Fredericksburg, VA 22408-7760

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0024193790 (VA)
Home Health Registered Nurse 163WH0200X0001289844 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1194568683

Shimeal Gordon's National Provider Identifier is 1194568683, issued on Jun 13, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fredericksburg, VA. The record was last updated on Nov 2, 2025.