Individual provider · Type 1 NPI

Carolyn Doughty Gordan, PNP

Nurse Practitioner · Greensboro, NC

NPI number 1356335657 Active

Practice location

433 W Meadowview Rd
Greensboro, NC 27406-4316

Fax (336) 370-4922

Mailing address

1046 E Wendover Ave
Greensboro, NC 27405-6712

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X300060 (NC)
Pediatric Nurse Practitioner 363LP0200X300060 (NC)

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 1356335657

Carolyn Doughty Gordan, PNP's National Provider Identifier is 1356335657, issued on Sep 1, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greensboro, NC. The record was last updated on Feb 28, 2011.