Shavonne L Gordon, LPN is a
Licensed Practical Nurse based in Breaux Bridge, Louisiana. Shavonne L Gordon is licensed to practice in Louisiana (license number 210430) and her current practice location is
648 Latiolais Rd, Breaux Bridge, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 332-4878.
NPI number for Shavonne L Gordon is 1144917592 and her current mailing address is 2308 Coteau Rd, New Iberia, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144917592.
Provider's Profile
Full Name | Shavonne L Gordon |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 648 Latiolais Rd, Breaux Bridge, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144917592
- Provider Enumeration Date: 04/18/2023
- Last Update Date: 04/18/2023
Medical Identifiers
Medical identifiers for Shavonne L Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144917592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 210430 (Louisiana) | 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. Shavonne L 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 |
Shavonne L Gordon, LPN 2308 Coteau Rd, New Iberia, LA 70560-9172 Ph: (337) 339-0858 | Shavonne L Gordon, LPN 648 Latiolais Rd, Breaux Bridge, LA 70517-4231 Ph: (337) 332-4878 |
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