Individual provider · Type 1 NPI
Lisa Gordon
Psychiatric/Mental Health Nurse Practitioner · Detroit, MI
NPI number
1437969466
Active
Practice location
3646 Mount Elliott St
Detroit, MI 48207-2311
Mailing address
15212 Salem Ct
Redford, MI 48239-3441
Other practice locations
- 15212 Salem Ct, Redford, MI 48239-3441 · (248) 325-7435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704351548 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1437969466
Lisa Gordon's National Provider Identifier is 1437969466, issued on Jan 11, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Detroit, MI. The record was last updated on Mar 11, 2025.