NPI 1174201222

Kelly a Gordon, LPN

Practitioner Licensed Practical Nurse Mays Landing, NJ

Practice location

Address: 5034 Atlantic Ave, Mays Landing, NJ 08330-2022
Phone: (609) 782-0005
Mailing address: 6395 Pittsburgh Ave, Mays Landing, NJ 08330-1064

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 26NP04313500 (NJ)

Other Licensed Practical Nurse providers in New Jersey →

Registry record

NPI: 1174201222
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2023
Record last updated: 10 Jul 2023

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.