| Julia Gordon, CRNP | |
|
5811 Jack Springs Rd, Atmore, AL 36502-5025 | |
| (251) 368-8630 | |
| Not Available |
| Full Name | Julia Gordon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5811 Jack Springs Rd, Atmore, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689784084 | NPI | - | NPPES |
| 1-075175 | Other | AL | RN LICENSE NUMBER |
| 631900010 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-075175 (Alabama) | Primary |
| Entity Name | Poarch Band Of Creek Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902916489 PECOS PAC ID: 9830188085 Enrollment ID: O20150203002035 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Gordon, CRNP 5001 S Pineville Rd, Walnut Hill, FL 32568-1421 Ph: (251) 368-9136 | Julia Gordon, CRNP 5811 Jack Springs Rd, Atmore, AL 36502-5025 Ph: (251) 368-8630 |
Brittany Shantel Murry, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9677 Highway 21, Atmore, AL 36502 Phone: 251-368-8122 | |
Matthew Barnett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-2500 | |
Stephanie Terese Godwin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5850 Highway 21, Atmore, AL 36502 Phone: 251-368-6245 Fax: 251-368-6248 | |
Mr. Shawn Manuel Geohagan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9677 Highway 21, Atmore, AL 36502 Phone: 251-368-8122 | |
Keith Scott Classen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Medical Park Dr, Atmore, AL 36502 Phone: 251-368-2500 | |
Mrs. Rachael Marie Shumaker, APRN/CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 E Laurel St, Atmore, AL 36502 Phone: 251-368-6960 Fax: 251-368-1378 |