IndividualActive
Rebecca Gordon, LN
NPI 1235658733 · Nutritionist · Mooresville, NC
Provider details
- NPI number
- 1235658733
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10-201604 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Nursing Service Related Providers
Practice location
595 Beaten Path Rd
Mooresville, NC 28117-8982
Phone: (704) 775-9300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4833
Mooresville, NC 28117-4833
Registry dates
- Enumerated
- 2017-09-15
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.