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NPI Profile for JENNIFER GORDON in JOHNSTON, RI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X |
| NPI Number | 1629003215 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 07/11/2006 | |
| Last updated | 07/09/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER GORDON
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JENNIFER GORDON, RN