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Jacquelin Marie Gordon
Licensed Practical Nurse in Utica, New York
NPI 1013497593

Jacquelin Marie Gordon is a Licensed Practical Nurse based in Utica, NY. Jacquelin Marie Gordon practices in Utica, NY. The NPI Number for Jacquelin Marie Gordon is 1013497593 and holds a License No. 252399-1 (New York).

The current practice location address for Jacquelin Marie Gordon is 1400 Noyes St, Utica, NY and can be reached out via phone at 315-738-3800.

Location: 1400 Noyes St, Utica, NY, 13502-3852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013497593
Provider Name
Jacquelin Marie Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 Noyes St, Utica, NY, 13502-3852
Phone Number
315-738-3800
Fax Number
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0521 05 NY
institution
Provider Business Practice Location Address Details
Address
1400 Noyes St
City
Utica
State
New York
Zip
13502-3852
Phone Number
315-738-3800
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Noyes St
City
Utica
State
New York
Zip
13502-3852
Phone Number
315-738-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
252399-1 (New York)
Definition
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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