Individual provider · Type 1 NPI

Hailey M. Gordon, PA-C

Nurse Practitioner · Meridian, ID

NPI number 1275175291 Active

Practice location

260 S Ten Mile Rd
Meridian, ID 83642-6100

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X53504 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1275175291

Hailey M. Gordon, PA-C's National Provider Identifier is 1275175291, issued on Oct 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on Jul 14, 2021.