Individual provider · Type 1 NPI

Jo R. Gordon, APRN, BC

Family Nurse Practitioner · Simpsonville, SC

NPI number 1609801505 Active

Practice location

421 SE Main St # UT100
Simpsonville, SC 29681-2695

Call (864) 963-0045 Map

Other practice locations

  • 90 Southside Ave, Suite 350, Asheville, NC 28801-4160 · (828) 277-4810

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5007192 (NC)
Family Nurse Practitioner 363LF0000X5007192 (NC)
Family Nurse Practitioner Primary 363LF0000X2662 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1609801505

Jo R. Gordon, APRN, BC's National Provider Identifier is 1609801505, issued on Jul 11, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Simpsonville, SC. The record was last updated on May 6, 2021.