Individual provider · Type 1 NPI
Abigail Odessa Gordon, BSN, RN
School Nurse Practitioner · Clovis, NM
NPI number
1376210765
Active
Practice location
1600 Sutter Pl
Clovis, NM 88101-4611
Fax (575) 769-4430
Mailing address
PO Box 19000
Clovis, NM 88102-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Nurse Practitioner Primary | 363LS0200X | RN-80773 (NM) |
School Nurse Practitioner: Definition to come...
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About NPI 1376210765
Abigail Odessa Gordon, BSN, RN's National Provider Identifier is 1376210765, issued on Aug 24, 2021. The primary taxonomy on file is School Nurse Practitioner (363LS0200X), and the practice location is in Clovis, NM. The record was last updated on Aug 24, 2021.