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

MS. Konwre Gordon, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1871048470

MS. Konwre Gordon, FNP-BC is a Nurse Practitioner in Oak Park, Michigan. Qualified in 2016, 10 years ago. Practices with Family Healthcare Network, a 91-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
10
Licensed in
CA, MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

21040 Greenfield Rd
Oak Park, MI 48237-3025
Phone: (248) 967-6500
Fax: (248) 967-6528
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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 95022974 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704257255 (MI)

Record details

NPI number1871048470
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedAugust 24, 2016
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Family Healthcare Network — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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