MEDICARE: MS. RHONJEAN GORDON FNP, BC ,ANP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	677064	TX
2	363LF0000X	Family Nurse Practitioner	677064	TX
3	363LP2300X	Primary Care Nurse Practitioner	677064	TX
4	363L00000X	Nurse Practitioner	677064	TX
5	363L00000X	Nurse Practitioner	AP05356	LA

General Provider Information

NPI Number	:	1487729737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHONJEAN GORDON FNP, BC ,ANP-BC

Provider Business Mailing Address
First Line	:	15818 CADENHORN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7541
Country	:	US
Telephone Number	:	281-686-4469
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 S LOOP W
Second Line	:	STE 460
City	:	HOUSTON
State	:	TX
Zip	:	77054-2653
Country	:	US
Telephone Number	:	713-664-2228
Fax Number	:	713-664-2228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	01/16/2015

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