Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LATRESSA RENELL GORDON RN
NPI 1487322657
Nurse Practitioner - Psychiatric/Mental Health in Flint, MI

Q: What is Latressa Gordon's NPI number?

The NPI number for Latressa Gordon is 1487322657. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Q: What is Latressa Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Latressa Gordon was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since September 02, 2021

1204 HARRISON ST, FLINT, MI 48502(810) 241-9803 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Latressa Renell Gordon Rn NPPES

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

DR. LATRESSA RENELL GORDON RN (NPI 1487322657) is an individual psychiatric/mental health provider in Flint, Michigan, licensed in Michigan (4704231176) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1487322657

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. LATRESSA RENELL GORDONCredential: RN

Location Address1204 HARRISON STFlint, MI 48502-1415

Mailing Address625 Kenmoor Ave SeGrand Rapids, MI 49546-2395 · (810) 241-9803

Phone(810) 241-9803

Sole ProprietorYes

Enumeration DateSeptember 2, 2021

Last NPPES UpdateAugust 3, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1487322657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MI · 4704231176

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704231176 (MI)

1204 HARRISON ST, Flint, MI 48502

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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 Latressa Gordon's NPI number?

The NPI number for Latressa Gordon is 1487322657. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Latressa Gordon located?

Latressa Gordon practices at 1204 Harrison St, Flint, MI 48502. The listed phone number is (810) 241-9803.

What is Latressa Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Latressa Gordon was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.