Wellformed AI

NPI 1083832257 · live from the CMS NPI Registry

Janet L Gordon, MSNCPNP

Nurse Practitioner, Pediatrics in Wilmington, DE. National Provider Identifier 1083832257, active.

NPI record

NPI1083832257 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location3521 Silverside Rd, 1f Quillen Bldg, Wilmington, DE 19810
Practice phone302-478-2613
EnumeratedApril 23, 2007
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200XLJ-0000160 (DE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.