Provider Profile

Carolyn Jackman Gordon, CRNP, PMHNP-BC

Unclaimed Profile

About Carolyn Jackman Gordon

Listed in the NPI registry as a nurse practitioner, Carolyn Jackman Gordon, CRNP, PMHNP-BC practices in Lumberton, NC. Carolyn is also listed as specializing in nurse practitioner — psychiatric/mental health. NPI 1710711262 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Credentials & Licensing

NC licenceAs reported to the NPI registry
No. 5022591As reported
MD licenceAs reported to the NPI registry
No. AC006921As reported
NPINational Provider Identifier
1710711262Issued 2024

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Carolyn Jackman Gordon, CRNP specialize in?

Carolyn Jackman Gordon, CRNP is a nurse practitioner in Lumberton, NC. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Carolyn Jackman Gordon, CRNP located?

Carolyn Jackman Gordon, CRNP is listed at 401 W 27Th St, Lumberton, NC 28358. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Carolyn Jackman Gordon, CRNP's phone number?

The number on file is (910) 370-0434. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Carolyn Jackman Gordon, CRNP's NPI number?

Carolyn Jackman Gordon, CRNP's National Provider Identifier is 1710711262. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Carolyn Jackman Gordon, CRNP train?

Carolyn Jackman Gordon, CRNP attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Carolyn Jackman Gordon, CRNP been practicing?

Carolyn Jackman Gordon, CRNP has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Carolyn Jackman Gordon, CRNP confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Carolyn Jackman Gordon, CRNP. If this is you, claiming it is free.

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