Individual provider · Type 1 NPI
Latressa Renell Gordon, RN
Psychiatric/Mental Health Nurse Practitioner · Flint, MI
NPI number
1487322657
Active
Practice location
1204 Harrison St
Flint, MI 48502-1415
Mailing address
625 Kenmoor Ave SE
Grand Rapids, MI 49546-2395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704231176 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704231176 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Flint
- Maria Carolina Donnelly, PMHNPPsychiatric/Mental Health Nurse Practitioner Flint, MI NPI 1013928860
- Jon Russell Krueger, PMHNPPsychiatric/Mental Health Nurse Practitioner Flint, MI NPI 1033473749
- Nakia AllenPsychiatric/Mental Health Nurse Practitioner Flint, MI NPI 1073474011
- Joshua Thomas Groce, RN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Flint, MI NPI 1073854576
- Shelley HughesPsychiatric/Mental Health Nurse Practitioner Flint, MI NPI 1124899695
- Christopher C. Noggle, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Flint, MI NPI 1154107209
- Dawn Marie Shaum, NPPsychiatric/Mental Health Nurse Practitioner Flint, MI NPI 1164855128
- Nwamaka Nwaiwu, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Flint, MI NPI 1174334015
About NPI 1487322657
Latressa Renell Gordon, RN's National Provider Identifier is 1487322657, issued on Sep 2, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Flint, MI. The record was last updated on Aug 3, 2026.