Individual provider · Type 1 NPI
Kiersten M. Gordon
Family Nurse Practitioner · Charlotte, NC
NPI number
1689495269
Active
Practice location
6000 Fairview Rd Ste 275
Charlotte, NC 28210-3346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5025696 (NC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Registered Nurse | 163W00000X | 360954 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689495269
Kiersten M. Gordon's National Provider Identifier is 1689495269, issued on Oct 17, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 28, 2026.