IndividualActive
Jacqueline Mcgordon
NPI 1063720787 · Adult Care Home Facility · Lakeland, FL
Jacqueline Mcgordon is a Adult Care Home Facility provider in Lakeland, FL (NPI 1063720787).
Provider details
- NPI number
- 1063720787
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6906490 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1038 N Walker Ave
Lakeland, FL 33805-4276
Phone: (863) 688-9776
Fax: (863) 688-9776
Street-level locationGet directions
Mailing address
828 W 2nd St
Lakeland, FL 33805-4226
Registry dates
- Enumerated
- 2010-09-15
- Last updated
- 2011-08-23
Frequently asked questions
- What is Jacqueline Mcgordon's NPI number?
- Jacqueline Mcgordon's National Provider Identifier (NPI) is 1063720787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Mcgordon's specialty?
- Jacqueline Mcgordon is listed in the NPPES registry with a primary specialty of Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Jacqueline Mcgordon located?
- Jacqueline Mcgordon's practice location on file with NPPES is 1038 N Walker Ave, Lakeland, FL 33805-4276.
- What is Jacqueline Mcgordon's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Mcgordon is (863) 688-9776.
- Is Jacqueline Mcgordon's NPI active?
- Yes — Jacqueline Mcgordon's NPI (1063720787) is active in the NPPES registry as of the last update on 2011-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.