MEDICARE: DR. JACQUELINE ANDREA GORDON HOPWOOD DNP

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	363L00000X	Nurse Practitioner	APRN11013047	FL

General Provider Information

NPI Number	:	1669026126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELINE ANDREA GORDON HOPWOOD DNP

Provider Business Mailing Address
First Line	:	265 E ROLLINS ST STE 8100
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5574
Country	:	US
Telephone Number	:	407-821-3555
Fax Number	:

Provider Business Practice Location Address
First Line	:	265 E ROLLINS ST STE 8100
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5574
Country	:	US
Telephone Number	:	407-821-3555
Fax Number	:

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

Provider Enumeration Date	:	08/01/2019
Last Update Date	:	12/30/2025

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