Individual provider · Type 1 NPI
Shelley Marie Gordon
Family Nurse Practitioner · Orlando, FL
NPI number
1235645276
Active
Practice location
6000 Ellenor Dr.
Orlando, FL 32809
Mailing address
5612 Escalante Canyon Dr
Kissimmee, FL 34758-1729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2019081903 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 9279224 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235645276
Shelley Marie Gordon's National Provider Identifier is 1235645276, issued on Dec 27, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orlando, FL. The record was last updated on Sep 17, 2021.