Active NPIIndividual provider

Jennifer Gordon, RN

Registered Nurse, Psych/Mental Health in Johnston, Rhode Island

NPI Number1629003215
Practice location
1443 Hartford Ave, Johnston, RI 02919-3224
Fax
401-861-8696
Last updated
July 9, 2007

Jennifer Gordon is a Registered Nurse, Psych/Mental Health based in Johnston, RI. Jennifer Gordon practices in Johnston, RI and has the professional credentials of RN. The NPI Number for Jennifer Gordon is 1629003215 and holds a License No. RN40524 (RI). The current practice location address for Jennifer Gordon is 1443 Hartford Ave, Johnston, RI 02919-3224 and can be reached out via phone at 401-553-1033 and via fax at 401-861-8696.

Provider Profile Details

NPI Number
1629003215
Provider Name
Jennifer Gordon
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1443 Hartford Ave, Johnston, RI 02919-3224
Phone Number
401-553-1033
Fax Number
401-861-8696
Primary Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1443 Hartford Ave
Johnston, RI 02919-3224
Zip
02919-3224
Phone Number
401-553-1033
Fax Number
401-861-8696
Johnston, RI 02919Get directions →

Provider Business Mailing Address Details

Address
249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134
City
Pawtucket
State
RI
Zip
02860-2134
Phone Number
401-724-8400
Fax Number
401-365-1100

License Information

License Number
RN40524
License State
RI
Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X · 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 Jennifer Gordon, RN?

The NPI number of Jennifer Gordon, RN is 1629003215. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennifer Gordon, RN?

Jennifer Gordon, RN is registered under the primary taxonomy Registered Nurse, Psych/Mental Health (code 163WP0808X), licensed in RI under license number RN40524.

Where does Jennifer Gordon, RN practice?

The practice location is 1443 Hartford Ave, Johnston, RI 02919-3224. The office can be reached at 401-553-1033 (phone) or 401-861-8696 (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 1629003215 directly on the NPPES registry website.

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