Mrs Amber Annab Gordon, FNP | |
106 Teel Ct, Rocky Point, NC 28457-9589 | |
(919) 270-0957 | |
Not Available |
Full Name | Mrs Amber Annab Gordon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 106 Teel Ct, Rocky Point, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841990538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5019126 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | GORD-2OB89 (North Carolina) | Primary |
Entity Name | Novant Health Medical Group Coastal Region Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amber Annab Gordon, FNP 106 Teel Ct, Rocky Point, NC 28457-9589 Ph: (919) 270-0957 | Mrs Amber Annab Gordon, FNP 106 Teel Ct, Rocky Point, NC 28457-9589 Ph: (919) 270-0957 |
Mrs. Jordan Michalea Farewell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7910 Us Hwy 117 S Unit 120, Rocky Point, NC 28457 Phone: 910-300-4500 Fax: 910-550-3787 | |
Matthew Bryan Spudy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7910 Us Hwy 117 S Unit 120, Rocky Point, NC 28457 Phone: 910-300-4500 Fax: 910-550-3787 |