Shavonne L Gordon, LPN in Breaux Bridge, LA - Licensed Practical Nurse

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.

Contact Information

	Shavonne L Gordon, LPN
	648 Latiolais Rd, Breaux Bridge, LA 70517-4231
	(337) 332-4878
	(337) 332-4866

Provider's Profile

Full Name	Shavonne L Gordon
Gender	Female
Speciality	Licensed Practical Nurse
Location	648 Latiolais Rd, Breaux Bridge, Louisiana
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

News Archive

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Licensed Practical Nurse Nurses in Breaux Bridge, LA

Sharell Kately,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 648 Latiolais Dr, Breaux Bridge, LA 70517
Phone: 337-332-4878

Shavonne L Gordon, LPN - Licensed Practical Nurse in Breaux Bridge, LA