Gordon, Abigail M'Lynn

Gordon, Abigail M'Lynn is an individual health care provider with primary practice located at 2018 Clinch Ave , Knoxville TN 37916-2301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gordon, Abigail M'Lynn can be contacted via phone (865) 541-8000.

Contact Information

Primary practice address
2018 Clinch Ave Knoxville TN 37916-2301
Phone: (865) 541-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 31012 Tennessee

Profile Details

NPI number 1205589637
LBN Legal business name Gordon, Abigail M'Lynn
Credentials DNP, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2022
Last updated Nov 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205589637 NPPES
Tennessee MEDICAID Q072847

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