JO R GORDON APRN, BC
NPI 1609801505
Nurse Practitioner - Family in Simpsonville, SC

Q: What is Jo Gordon's NPI number?

The NPI number for Jo Gordon is 1609801505. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Ms. Jo R Bradley Fnp, Ms.

Q: What is Jo Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jo Gordon was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 July 11, 2006

421 SE MAIN ST # UT100, SIMPSONVILLE, SC 29681(864) 963-0045 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2021, Sep 28, 2015 (2 updates tracked since 2015).

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About Jo R Gordon Aprn, Bc NPPES

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

JO R GORDON APRN, BC (NPI 1609801505) is an individual family provider in Simpsonville, South Carolina, licensed in South Carolina (2662) and active in the NPI registry since July 2006. She maintains a secondary practice location in Asheville.

NPPES Registry Identity

NPI1609801505

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJO R GORDONCredential: APRN, BC

Location Address421 SE MAIN ST # UT100Simpsonville, SC 29681-2695

Mailing Address421 Se Main St # Ut100Simpsonville, SC 29681-2695 · (864) 963-0045

Phone(864) 963-0045

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateMay 6, 20212 updates tracked since enumeration

NPPES CertifiedMay 6, 2021

✔ NPI 1609801505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in SC · 2662✔ Licensed in NC · 5007192

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5007192 (NC)

421 SE MAIN ST # UT100, Simpsonville, SC 29681

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Other Names 1

Former Name (1)Ms. Jo R Bradley Fnp, Ms

Secondary Practice Location 1

Location 190 Southside Ave, Suite 350Asheville, NC 28801-4160 · Phone (828) 277-4810

Other Identifiers 3

MedicaidNP1097SC

Medicaid1609801505NC

Other1892FNC · Bcbs Nc

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 Jo Gordon's NPI number?

The NPI number for Jo Gordon is 1609801505. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Ms. Jo R Bradley Fnp, Ms.

Where is Jo Gordon located?

Jo Gordon practices at 421 SE Main St # Ut100, Simpsonville, SC 29681. The listed phone number is (864) 963-0045.

What is Jo 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 Jo Gordon was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.