Healthcare Provider Details

I. General information

NPI: 1215862172
Provider Name (Legal Business Name): TERRY ARNETTE GORDON DNP,APRN,AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERRYE ARNETTE GORDON DNP,APRN,AGACNP-BC

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 RATCLIFF ST
CAMDEN AR
71701-4334
US

IV. Provider business mailing address

338 RATCLIFF ST
CAMDEN AR
71701-4334
US

V. Phone/Fax

Practice location:
  • Phone: 870-818-9421
  • Fax:
Mailing address:
  • Phone: 870-818-9421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number237796
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: