Jo R Gordon is a Simpsonville, South Carolina based nurse practitioner. Active license number of Jo R Gordon is 2662 for Family in South Carolina. Her current practice location is 421 Se Main St # Ut100, Simpsonville. Patients can reach her at 864-963-0045. Jo R Gordon is APRN, BC and her NPI number (Unique professional ID assigned by NPPES) is 1609801505. Jo R Gordon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jo R Gordon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jo R Gordon
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRN, BC
Practice Address:
421 Se Main St # Ut100, Simpsonville, South Carolina, 29681-2695
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1609801505
NPI Enumeration Date:
11 Jul, 2006
NPI Last Update On:
06 May, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jo R Gordon are as mentioned below.
License Number
Specialization
State
Status
2662
Family
South Carolina
Primary
5007192
Nurse Practitioner
North Carolina
Secondary
5007192
Family
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jo R Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1892F
Other
North Carolina
BCBS NC
1609801505
Medicaid
North Carolina
NP1097
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jo R Gordon 421 Se Main St # Ut100, Simpsonville, South Carolina
Zip:
29681-2695
Phone Number:
864-963-0045
Patients can reach Jo R Gordon at 421 Se Main St # Ut100, Simpsonville, South Carolina or can call to book an appointment on 864-963-0045.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.