MRS. JESSICA GORDON, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1164104899
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 29864 (SC) |
Frequently Asked Questions
NPI 1164104899 is the National Provider Identifier for MRS. JESSICA GORDON, CRNA, a Nurse Anesthetist, Certified Registered provider located in Myrtle Beach, SC. This NPI was enumerated on August 2, 2023.
MRS. JESSICA GORDON, CRNA practices at 809 82ND PKWY, Myrtle Beach, SC 29572.
Quick Facts
- NPI
- 1164104899
- Type
- Individual
- Enumerated
- Aug 2, 2023
- Last Updated
- Jan 28, 2025
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