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

Shelly Gordon

Individual provider Family Nurse Practitioner · NPI 1366386146

Shelly Gordon is a Family Nurse Practitioner in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2026.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

2010 E State Highway 114
Southlake, TX 76092-6514
Phone: (817) 893-9200
Fax: (817) 893-9300
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1169111 (TX)

Record details

NPI number1366386146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address319 Edgewood Dr, Coppell, TX 75019-5806

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