JERLENA T. GORDON (NPI# 1164590253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164590253 |
| Entity Type | Individual |
| Full Name | JERLENA T. GORDON |
| Credential | APRN-BC |
| Practice Address |
3810 Winchester Rd Southeast Mental Health Center Memphis TN 38118-6045 |
| Mailing Address |
3810 Winchester Rd Memphis TN 38118-6045 |
| Practice Telephone | 9013691420 |
| Practice Fax Number | 9013691433 |
| Mailing Telephone | 9013691420 |
| Mailing Fax Number | 9013691433 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26679 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3810 WINCHESTER RD SOUTHEAST MENTAL HEALTH CENTER |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952400996 | Debra Sue Dillon | Registered Nurse | 3810 Winchester Rd, Southeast Mental Health Center, Memphis, TN 38118-9007 | 2006-09-22 |
| 1093313892 | Kimberly Byars | Social Worker | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2020-10-14 |
| 1346748332 | William R Rubino Jr. | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2018-01-25 |
| 1952819047 | Melanie S Nolan | Nurse Practitioner | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2018-01-11 |
| 1083165104 | Alliance Healthcare Pharmacy | Pharmacy | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2016-10-24 |
| 1225466048 | Tareyton Mason | Nurse Practitioner | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2013-10-15 |
| 1811235575 | Eric Micheal Harlin | Social Worker | 3810 Winchester Rd, Memphis, TN 38118 | 2013-01-30 |
| 1861738916 | Douglas Hodge | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-12-18 |
| 1730449455 | /yvette Hunter | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-05-29 |
| 1003175373 | Danielle Wells | Case Manager/Care Coordinator | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1679197974 | Billi-jo Fulton | Nurse Practitioner | 6932 Guyder Rd, Memphis, NY 13112-8711 | 2020-06-02 |
| 1417518077 | Raghib Dennis | Nurse Practitioner | 1518 Arbor View Ct Apt 206, Memphis, TN 38134-8859 | 2019-06-25 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1407115579 | Allyson Brooke Williams | Nurse Practitioner | 5050 Poplar Avenue Suite 511, Memphis, TN 38157-0618 | 2012-05-10 |
| 1497883607 | Gerome Alonzo Grivas | Nurse Practitioner | 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 | 2007-03-01 |
| 1831172444 | Len N. Getz | Nurse Practitioner | 708 S Mendenhall Rd, Memphis, TN 38117-5213 | 2005-11-29 |
| 1326046707 | Angela C Hammond | Nurse Practitioner | 2579 Douglass Ave, Southeast Mental Health Center, Memphis, TN 38114-2532 | 2005-07-11 |
| 1447859053 | Willie Faye Kelly | Nurse Practitioner | 951 Court Ave, Memphis, TN 38103-2813 | 2020-10-23 |
| 1225643018 | Melanie Warren | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-09-09 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.