Gordon, Barbara Jean
Gordon, Barbara Jean is an individual health care provider with primary practice located at 132 Colonial Dr , Towanda PA 18848-8107. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gordon, Barbara Jean can be contacted via phone (570) 265-6165.Contact Information
Primary practice address
132 Colonial Dr
Towanda PA 18848-8107
Phone: (570) 265-6165
Fax: (570) 265-3616
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN219067L | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | UP003277C | Pennsylvania |
Profile Details
NPI number | 1023077526 |
---|---|
LBN Legal business name | Gordon, Barbara Jean |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2006 |
Last updated | Mar 12th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023077526 | NPPES |
Pennsylvania | Other | 500001498 | RR MEDICARE PIN |
Pennsylvania | Other | CC9269 | RR MEDICARE PIN |
Pennsylvania | Other | GU039833 | RR MEDICARE PIN |
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