CAROLYN JACKMAN GORDON

LA PLATA, MD
NPI1710711262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  AC006921)
Enumeration Date2024-08-28
Last Update Date2025-05-21
Business Address
CAROLYN JACKMAN GORDON CRNP, PMHNP-BC
34 SHINING WILLOW WAY # 239
LA PLATA, MD 20646-4224
Phone number: 015-426-4753
Mailing Address
CAROLYN JACKMAN GORDON CRNP, PMHNP-BC
34 SHINING WILLOW WAY # 239
LA PLATA, MD 20646-4224
Phone number: 304-542-6475
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