Individual provider · Type 1 NPI

Ronald Glen Gordon, APRN, FNP-BC

Family Nurse Practitioner · Melbourne, FL

NPI number 1255898102 Active

Practice location

250 N Wickham Rd
Melbourne, FL 32935-8625

Call (321) 752-1491 Map

Mailing address

2572 Diane Ave SE
Palm Bay, FL 32909-6448

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	APRN11000215 (FL)
Wound Care Registered Nurse	163WW0000X	RN9181705 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1255898102

Ronald Glen Gordon, APRN, FNP-BC's National Provider Identifier is 1255898102, issued on Feb 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Melbourne, FL. The record was last updated on Feb 27, 2019.