Gordon, Shelby Lynn
Gordon, Shelby Lynn is an individual health care provider with primary practice located at 5510 Promenade Point Pkwy Nw # 160 , Madison AL 35758-6702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Gordon, Shelby Lynn can be contacted via phone (256) 289-8470.Contact Information
Primary practice address
5510 Promenade Point Pkwy Nw # 160
Madison AL 35758-6702
Phone: (256) 289-8470
Fax: (256) 993-3096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 1-163097 | Alabama |
Profile Details
| NPI number | 1073744280 |
|---|---|
| LBN Legal business name | Gordon, Shelby Lynn |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Dec 16th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073744280 | NPPES |
| Georgia | MEDICAID | 513630481C |
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