TAMMY GORDON RN
NPI 1770721102
Registered Nurse in Normal, IL

Active since January 22, 2009
1604 VISA DR STE 1, NORMAL, IL 61761(309) 847-4716(309) 454-1107 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tammy Gordon Rn NPPES

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

TAMMY GORDON RN (NPI 1770721102) is an individual registered nurse in Normal, Illinois, licensed in Illinois (041326108) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1770721102
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameTAMMY GORDONCredential: RN
Location Address1604 VISA DR STE 1Normal, IL 61761-2195
Mailing Address1604 Visa Dr Ste 1Normal, IL 61761-2195 · (309) 847-4716 · Fax (309) 454-1107
Fax(309) 454-1107
Sole ProprietorNo
Enumeration DateJanuary 22, 2009
NPI 1770721102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in IL · 041326108
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1604 VISA DR STE 1, Normal, IL 61761

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
Registered Nurse
1604 VISA DR STE 1
NORMAL, IL 61761
1604 VISA DR STE 1
NORMAL, IL 61761
Registered Nurse
1604 VISA DR STE 1
NORMAL, IL 61761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770721102, enumerated as an "individual" on January 22, 2009.

The provider is located at 1604 VISA DR STE 1 NORMAL, IL 61761 and the phone number is (309) 847-4716.

Registered Nurse with taxonomy code 163W00000X.