National Provider Identifier Database

SHAVONNE L GORDON, LPN – NPI #1144917592
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

SHAVONNE L GORDON, LPN
648 LATIOLAIS RD
BREAUX BRIDGE, LA70517-4231
Phone: 337-332-4878
Fax: 337-332-4866
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X

* Indicates primary specialty

NPI Profile & details for SHAVONNE L GORDON

NPI Number 1144917592
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 04/18/2023
Last updated 04/18/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • LA License #: 210430
Hospital affiliation n/a

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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