Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanelle Gordon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1114462397

Chanelle Gordon, FNP-C is a Family Nurse Practitioner in Saint Albans, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

11816 197th St
Saint Albans, NY 11412-3456
Phone: (347) 752-8240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354879 (NY)

Record details

NPI number1114462397
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 27, 2016
Last updated in NPPESSeptember 7, 2024
Certification dateSeptember 5, 2024

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