Gordon, Jonathan

Gordon, Jonathan is an individual health care provider with primary practice located at 1419 Grande Mesa Dr , Georgetown TX 78626-7079. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gordon, Jonathan can be contacted via phone (512) 589-4599.

Contact Information

Primary practice address
1419 Grande Mesa Dr Georgetown TX 78626-7079
Phone: (512) 589-4599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 841626 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP138312 Texas

Profile Details

NPI number 1538647698
LBN Legal business name Gordon, Jonathan
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2018
Last updated Aug 1st, 2018 - about 7 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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