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

Mr. Jerome Louis Gordon III

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1336642503

Mr. Jerome Louis Gordon III is an Adult Psychiatric/Mental Health Registered Nurse in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

3853 Rosecrans St
San Diego, CA 92110-3115
Phone: (619) 615-0439
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 690904 (CA)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 690904 (CA)

Record details

NPI number1336642503
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2018
Last updated in NPPESMarch 14, 2018

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