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MRS. CRYSTAL GORDON FNP-C
NPI 1215732177
Nurse Practitioner - Family in Evergreen, NC

Active since February 14, 2025
95 GRAY LN, EVERGREEN, NC 28438(910) 640-7159 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Sep 11, 2025, Feb 14, 2025 (3 updates tracked since 2025).

About Mrs. Crystal Gordon Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CRYSTAL GORDON FNP-C (NPI 1215732177) is an individual family provider in Evergreen, North Carolina, licensed in North Carolina (5023063) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1215732177
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CRYSTAL GORDONCredential: FNP-C
Location Address95 GRAY LNEvergreen, NC 28438-0008
Mailing Address95 Gray LnEvergreen, NC 28438-0008 · (910) 640-7159 · Fax (866) 644-6760
Phone(910) 640-7159
Sole ProprietorNo
Enumeration DateFebruary 14, 2025
Last NPPES UpdateOctober 9, 20253 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1215732177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5023063
95 GRAY LN, Evergreen, NC 28438
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Gordon's NPI number?

The NPI number for Crystal Gordon is 1215732177. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Where is Crystal Gordon located?

Crystal Gordon practices at 95 Gray Ln, Evergreen, NC 28438. The listed phone number is (910) 640-7159.

What is Crystal Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Crystal Gordon was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.