person
Rita L Gordon, APRN
Family Nurse Practitioner in Jackson, Mississippi
NPI 1235243569

Rita L Gordon is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Rita L Gordon practices in Jackson, MS and has the professional credentials of APRN. The NPI Number for Rita L Gordon is 1235243569 and holds a License No. R784456 (Mississippi).

The current practice location address for Rita L Gordon is 3502 W Northside Dr, Jackson, MS and can be reached out via phone at 601-362-5321.

Location: 3502 W Northside Dr, Jackson, MS, 39213-4454
person
Provider Profile Details
NPI Number
1235243569
Provider Name
Rita L Gordon
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3502 W Northside Dr, Jackson, MS, 39213-4454
Phone Number
601-362-5321
Fax Number
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R784456 01 MS MS LICENSE
institution
Provider Business Practice Location Address Details
Address
3502 W Northside Dr
City
State
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
person
Provider Business Mailing Address Details
Address
3502 W Northside Dr
City
State
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R784456 (Mississippi)
Definition
Definition to come...
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