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Contact Information

JESSICA E GORDON, DO
5000 HIGHWAY 39 N
MERIDIAN, MS39301
 Phone: 601-483-6211
 Fax: 601-482-3263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JESSICA E GORDON · (Female)

NPI # 1215145222
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/21/2007
Last updated 07/28/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 19821
  • MS Medicaid 06527227
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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