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Amanda Gordon, FNP — NPI 1780103143, Saint Louis, MO | NPI Central

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NPI 1780103143

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Amanda Gordon, FNP

NPI 1780103143 · Nurse Practitioner · Saint Louis, MO

Provider details

NPI number: 1780103143
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: FNP
Sex: Female
Sole proprietor: Yes
License: 14987 (WI)

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 2017007862 (MO)
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000XLicense 14987 (WI)
Physician Assistants & Advanced Practice Nursing Providers
Family Nurse Practitioner363LF0000XLicense 2017007862 (MO)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

30 Ronnies Plz

Saint Louis, MO 63126-3552

Phone: (314) 989-6807

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

Po Box 955534

Saint Louis, MO 63195-5534

Additional practice locations (2)

1718 Catlin Dr
Barnhart, MO 63012-1277
Phone: (844) 766-7200
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone: (314) 989-6807
Fax: (314) 989-2940

Registry dates

Enumerated: 2017-09-15
Last updated: 2024-06-06
Certified: 2024-06-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.