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Alisa Joy Gordon, LPN
Licensed Practical Nurse in Highland Park, Michigan
NPI 1386762185

Alisa Joy Gordon is a Licensed Practical Nurse based in Detroit, MI. Alisa Joy Gordon practices in Highland Park, MI and has the professional credentials of LPN. The NPI Number for Alisa Joy Gordon is 1386762185 and holds a License No. 4703056485 (Michigan).

The current practice location address for Alisa Joy Gordon is 13220 Woodward Ave, Highland Park, MI and can be reached out via phone at 313-868-1946 and via fax at 313-852-1631. You can also correspond with Alisa Joy Gordon through the mailing address at 8907 RUTLAND ST, DETROIT, MI - 48228-2072 (mailing address contact number: 313-933-4284).

Location: 13220 Woodward Ave, Highland Park, MI, 48228-2072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386762185
Provider Name
Alisa Joy Gordon
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
13220 Woodward Ave, Highland Park, MI, 48228-2072
Phone Number
313-868-1946
Fax Number
313-852-1631
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740313238 01 MI CHRISTIAN GUIDANCE CENTER
3022440 05 MI
institution
Provider Business Practice Location Address Details
Address
13220 Woodward Ave
City
Highland Park
State
Michigan
Zip
48203-3610
Phone Number
313-868-1946
Fax Number
313-852-1631
person
Provider Business Mailing Address Details
Address
13220 Woodward Ave
City
Highland Park
State
Michigan
Zip
48203-3610
Phone Number
313-868-1946
Fax Number
313-852-1631
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703056485 (Michigan)
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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