Gordon, Jenna T

Gordon, Jenna T is an individual health care provider with primary practice located at 14866 Ocean Hwy , Pawleys Island SC 29585-4801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gordon, Jenna T can be contacted via phone (843) 900-0777.

Contact Information

Primary practice address
14866 Ocean Hwy Pawleys Island SC 29585-4801
Phone: (843) 900-0777
Fax: (843) 900-0780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25416 South Carolina

Profile Details

NPI number 1376297630
LBN Legal business name Gordon, Jenna T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2022
Last updated Feb 28th, 2022 - about 2 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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