Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn Jackman Gordon, CRNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710711262

Carolyn Jackman Gordon, CRNP, PMHNP-BC is a Nurse Practitioner in Lumberton, North Carolina. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Maryland and North Carolina.

Years since qualifying
2
Licensed in
MD, NC
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

401 W 27th St
Lumberton, NC 28358-3019
Phone: (910) 370-0434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 34 Shining Willow Way # 239, La Plata, MD 20646-4224 — (015) 426-4753
  • 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 — (202) 360-4787

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5022591 (NC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AC006921 (MD)

Record details

NPI number1710711262
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP , PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 28, 2024
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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