Anna Crow Gordon
Nurse Practitioner in Southaven, MS. Individual provider (NPI-1).
NPI number1124765656
StatusActive
Last updated in NPPESSep 28, 2025
Details
- NPI
- 1124765656
- Entity type
- Individual (NPI-1)
- Name
- Anna Crow Gordon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2022
- Certification date
- Sep 28, 2025
- Last updated
- Sep 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 904651 | MS | Yes |
Practice location
60 Physicians LnSouthaven, MS 38671-6122
Phone 769-243-6141 · Fax 601-510-1665
Mailing address
778 Liberty RdFlowood, MS 39232-9300
Phone 769-243-6141 · Fax 601-510-1665
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All 27 Nurse Practitioner providers in Southaven · All 1,578 providers in Southaven
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