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

Dominique S Gordon, FNP-C, PMHNP-BC

Individual provider Family Nurse Practitioner · NPI 1982204178

Dominique S Gordon, FNP-C, PMHNP-BC is a Family Nurse Practitioner in Palm Bay, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3425 Bayside Lakes Blvd SE Ste 103
Palm Bay, FL 32909-6867
Phone: (321) 557-3065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11014427 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11014427 (FL)

Record details

NPI number1982204178
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 28, 2020
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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