Rylie Gordon, FNP is a
Nurse Practitioner - Family based in Whiteville, Tennessee. Rylie Gordon is licensed to practice in Tennessee (license number 38167) and his current practice location is
2400 Us Highway 64, Whiteville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 254-8999.
NPI number for Rylie Gordon is 1841004298 and his current mailing address is 2400 Us Highway 64, Whiteville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841004298.
Provider's Profile
| Full Name | Rylie Gordon |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2400 Us Highway 64, Whiteville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1841004298
- Provider Enumeration Date: 02/05/2025
- Last Update Date: 02/06/2025
Medical Identifiers
Medical identifiers for Rylie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841004298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 38167 (Tennessee) | 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. Rylie 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 |
|---|
Rylie Gordon, FNP
2400 Us Highway 64,
Whiteville, TN 38075-7461
Ph: (731) 254-8999 | Rylie Gordon, FNP
2400 Us Highway 64,
Whiteville, TN 38075-7461
Ph: (731) 254-8999 |
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