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

Shannon Zonya Wright Gordon, RPAC

Individual provider Physician Assistant · NPI 1265674014

Shannon Zonya Wright Gordon, RPAC is a Physician Assistant in Mineola, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Colorado, Florida, Georgia and Massachusetts and 6 more.

Licensed in
CO, FL, GA, MA, NH, NY
In the registry since
2009
Specialties on file
10
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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Kilvert St, Warwick, RI 02886-1379 — (919) 172-8471

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013048 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 13601 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA9121461 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA95279 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 14252720-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA70062341 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 8713-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence PA0009678 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA01877 (RI)
Physician Assistant Taxonomy 363A00000X · Licence 3601 (NH)

Record details

NPI number1265674014
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPAC
Sole proprietorYes
NPI enumeratedMarch 25, 2009
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

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