Individual provider · Type 1 NPI

Gayle Ruth Gordon, LICENSED PRACTICAL N

Licensed Practical Nurse · Daytona Beach, FL

NPI number 1366442071 Active

Practice location

1220 Willis Ave
Daytona Beach, FL 32114-2810

Call (386) 236-3200 Map

Fax (386) 257-0328

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN1098961 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1366442071

Gayle Ruth Gordon, LICENSED PRACTICAL N's National Provider Identifier is 1366442071, issued on Jul 22, 2005. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jul 13, 2026.