Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLENEISHA GORDON
Active Sole ProprietorBus · DESTREHAN, LA
Registration Details
- NPI Number
- 1477428860
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2025 (0.57034689982962 yrs)
- Last Updated
- Oct 7, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 ORMOND PLDESTREHAN, LA, 700473132Browse LA providers · Browse ZIP 70047
- Phone
- 5042476096
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in DESTREHAN, LA
| Name | Credential | NPI |
|---|---|---|
| TIARA W AUSTIN | — | 1326606393 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.