Individual provider · Type 1 NPI

Jessica Gordon

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1992496491 Active

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

17553 Kittridge St
Van Nuys, CA 91406-5322

Other practice locations

  • 201 E Sample Rd, Deerfield Beach, FL 33064-3502 · (818) 517-1380

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992496491

Jessica Gordon's National Provider Identifier is 1992496491, issued on May 16, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Mar 26, 2024.