NPI 1033719067
Nicole Lynn Gordon
Practice location
- Address
- 1013 W Semmes Ave, Osceola, AR 72370-2347
- Phone
- (269) 873-0088
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1033719067
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Oct 2020
- Record last updated
- 28 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.