Individual provider · Type 1 NPI
Jonathan Gordon, NP-C
Family Nurse Practitioner · Georgetown, TX
NPI number
1538647698
Active
Practice location
1419 Grande Mesa Dr
Georgetown, TX 78626-7079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 841626 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP138312 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1538647698
Jonathan Gordon, NP-C's National Provider Identifier is 1538647698, issued on Aug 1, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Georgetown, TX. The record was last updated on Aug 1, 2018.