Individual provider · Type 1 NPI

Sydney Gordon

Licensed Practical Nurse · Muskegon, MI

NPI number 1902774730 Active

Practice location

445 E Sherman Blvd
Muskegon, MI 49444-2203

Mailing address

4620 White Rd
Muskegon, MI 49442-8410

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703127362 (MI)

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 1902774730

Sydney Gordon's National Provider Identifier is 1902774730, issued on Oct 24, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Muskegon, MI. The record was last updated on Oct 24, 2025.