Individual provider · Type 1 NPI

Be'ianka Jazz'e Taylor Gordon

Licensed Practical Nurse · Princeton, NJ

NPI number 1750920658 Active

Practice location

819 Alexander Rd
Princeton, NJ 08540-6303

Call (609) 759-7454 Map

Fax (609) 452-0627

Mailing address

51 Middle Rose St
Trenton, NJ 08618-3803

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X26NP07101900 (NJ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1750920658

Be'ianka Jazz'e Taylor Gordon's National Provider Identifier is 1750920658, issued on Dec 26, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Princeton, NJ. The record was last updated on Dec 27, 2019.