Individual provider · Type 1 NPI
Devon Cordelia Gordon-Lyles, AGPNP-BC, CCRN
Adult Health Nurse Practitioner · Teaneck, NJ
NPI number
1750120408
Active
Practice location
157 Shepard Ave
Teaneck, NJ 07666-6157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ15075500 (NJ) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F311813-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1750120408
Devon Cordelia Gordon-Lyles, AGPNP-BC, CCRN's National Provider Identifier is 1750120408, issued on May 22, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Teaneck, NJ. The record was last updated on Mar 27, 2025.