Mrs Crystal Gordon, FNP-C is a
Nurse Practitioner - Family based in Evergreen, North Carolina. Mrs Crystal Gordon is licensed to practice in North Carolina (license number 5023063) and her current practice location is
95 Gray Ln, Evergreen, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 640-7159.
NPI number for Mrs Crystal Gordon is 1215732177 and her current mailing address is 95 Gray Ln, Evergreen, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215732177.
Provider's Profile
| Full Name | Mrs Crystal Gordon |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 95 Gray Ln, Evergreen, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215732177
- Provider Enumeration Date: 02/14/2025
- Last Update Date: 10/09/2025
Medical Identifiers
Medical identifiers for Mrs Crystal Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215732177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 5023063 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Crystal Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Crystal Gordon, FNP-C 95 Gray Ln, Evergreen, NC 28438-0008 Ph: (910) 640-7159 | Mrs Crystal Gordon, FNP-C 95 Gray Ln, Evergreen, NC 28438-0008 Ph: (910) 640-7159 |
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