Active NPIIndividual provider

Mr. Joseph R Gagnon Jr., CRNP

Nurse Practitioner, Psych/Mental Health in Chesterbrook, Pennsylvania

NPI Number1558904813
Practice location
851 Duportail RD Fl 2, Chesterbrook, PA 19087-5575
Fax
856-249-9109
Last updated
August 19, 2025

Joseph Richard Gagnon is a Nurse Practitioner, Psych/Mental Health based in Chesterbrook, PA. Joseph Richard Gagnon practices in Chesterbrook, PA and has the professional credentials of CRNP. The NPI Number for Joseph Richard Gagnon is 1558904813 and holds a License No. RN631678 (PA). The current practice location address for Joseph Richard Gagnon is 851 Duportail RD Fl 2, Chesterbrook, PA 19087-5575 and can be reached out via phone at 856-699-1710 and via fax at 856-249-9109.

Provider Profile Details

NPI Number
1558904813
Provider Name
Joseph Richard Gagnon
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
851 Duportail RD Fl 2, Chesterbrook, PA 19087-5575
Phone Number
856-699-1710
Fax Number
856-249-9109
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2019
Last Update Date
August 19, 2025
Certification Date
August 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
851 Duportail RD Fl 2
Chesterbrook, PA 19087-5575
Zip
19087-5575
Phone Number
856-699-1710
Fax Number
856-249-9109
Chesterbrook, PA 19087Get directions →

Provider Business Mailing Address Details

Address
219 Forge RD
Collegeville, PA 19426-1707
City
Collegeville
State
PA
Zip
19426-1707
Phone Number
267-718-0498

License Information

License Number (1)
RN631678
License State (1)
PA
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
SP021305
License State (2)
PA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Joseph R Gagnon Jr., CRNP?

The NPI number of Mr. Joseph R Gagnon Jr., CRNP is 1558904813. It was assigned on October 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Joseph R Gagnon Jr., CRNP?

Mr. Joseph R Gagnon Jr., CRNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in PA under license number RN631678.

Where does Mr. Joseph R Gagnon Jr., CRNP practice?

The practice location is 851 Duportail RD Fl 2, Chesterbrook, PA 19087-5575. The office can be reached at 856-699-1710 (phone) or 856-249-9109 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558904813 directly on the NPPES registry website.

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