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Jo R Gordon, APRN,BC
Family Nurse Practitioner in Simpsonville, South Carolina
NPI 1609801505

Jo R Gordon is a Family Nurse Practitioner based in Simpsonville, SC and is specialized in Family. Jo R Gordon practices in Simpsonville, SC and has the professional credentials of APRN,BC. The NPI Number for Jo R Gordon is 1609801505 and holds a License No. 5007192 (South Carolina).

The current practice location address for Jo R Gordon is 421 Se Main St # Ut100, Simpsonville, SC and can be reached out via phone at 864-963-0045. You can also correspond with Jo R Gordon through the mailing address at 421 SE MAIN ST # UT100, SIMPSONVILLE, SC - 29681-2695 (mailing address contact number: 864-963-0045).

Location: 421 Se Main St # Ut100, Simpsonville, SC, 29681-2695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609801505
Provider Name
Jo R Gordon
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
421 Se Main St # Ut100, Simpsonville, SC, 29681-2695
Phone Number
864-963-0045
Fax Number
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1892F 01 NC BCBS NC
1609801505 05 NC
NP1097 05 SC
institution
Provider Business Practice Location Address Details
Address
421 Se Main St # Ut100
City
Simpsonville
State
South Carolina
Zip
29681-2695
Phone Number
864-963-0045
Fax Number
person
Provider Business Mailing Address Details
Address
421 Se Main St # Ut100
City
Simpsonville
State
South Carolina
Zip
29681-2695
Phone Number
864-963-0045
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5007192 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5007192 (North Carolina)
Definition
Definition to come...
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