Amanda B. Gordon, FNP
Nurse Practitioner · Saint Louis, MO
Practice location
30 Ronnies PLZSaint Louis, MO 63126-3552
- Phone
- (314) 989-6807
NPI record
- NPI
- 1780103143
- Entity type
- Individual (Type 1)
- Enumeration date
- September 15, 2017
- Last updated
- June 6, 2024
- Certified
- June 6, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
2017007862 | MO |
| Nurse Practitioner | 363L00000X |
14987 | WI |
| Family Nurse Practitioner | 363LF0000X |
2017007862 | MO |
Mailing address
PO Box 955534Saint Louis, MO 63195-5534
Other practice locations (2)
- 1718 Catlin Dr, Barnhart, MO 63012-1277 · (844) 766-7200
- 1821 S Stoughton Rd, Madison, WI 53716-2257 · (314) 989-6807
About Amanda Gordon
Amanda B. Gordon, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 30 Ronnies PLZ, Saint Louis, MO 63126-3552. The NPI number 1780103143 was assigned on September 15, 2017 and the record was last updated on June 6, 2024.
Amanda Gordon lists 3 licenses in the registry: #2017007862 (MO) for Nurse Practitioner; #14987 (WI) for Nurse Practitioner; #2017007862 (MO) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Amanda B. Gordon, FNP?
The NPI number is 1780103143.
What is the phone number of Amanda Gordon?
The phone number listed for the practice location is (314) 989-6807.
Where is Amanda Gordon located?
30 Ronnies PLZ, Saint Louis, MO 63126-3552.
What is the taxonomy code for Amanda Gordon?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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