Provider Demographics
NPI:1326211335
Name:GORDON, SABINA GABRIELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:SABINA
Middle Name:GABRIELLE
Last Name:GORDON
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ARGENTO DR APT 2101
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-5237
Mailing Address - Country:US
Mailing Address - Phone:678-884-6555
Mailing Address - Fax:678-826-0772
Practice Address - Street 1:300 ARGENTO DR APT 2101
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-5237
Practice Address - Country:US
Practice Address - Phone:678-884-6555
Practice Address - Fax:678-826-0772
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN219044363LF0000X, 163WG0000X
GAF05190272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice