Individual provider · Type 1 NPI
Makala A. Gordon
Pediatric Nurse Practitioner · Nashville, TN
NPI number
1508529967
Active
Practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-0005
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice locations
- 2200 Childrens Way, Nashville, TN 37232-0005 · (615) 936-4009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 227921 (TN) |
| Nurse Practitioner | 363L00000X | 34974 (TN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 34974 (TN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1508529967
Makala A. Gordon's National Provider Identifier is 1508529967, issued on Oct 21, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Nashville, TN. The record was last updated on Dec 5, 2024.