person
Jacklyn Gannon
Psychiatric/Mental Health Nurse Practitioner in Stony Brook, New York
NPI 1841078359

Jacklyn Gannon is a Psychiatric/Mental Health Nurse Practitioner based in West Babylon, NY and is specialized in Psychiatric/Mental Health. Jacklyn Gannon practices in Stony Brook, NY. The NPI Number for Jacklyn Gannon is 1841078359 and holds a License No. 745153 (New York).

The current practice location address for Jacklyn Gannon is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-638-1036.

Location: 101 Nicolls Rd, Stony Brook, NY, 11704-8203
person
Provider Profile Details
NPI Number
1841078359
Provider Name
Jacklyn Gannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11704-8203
Phone Number
631-638-1036
Fax Number
Provider Enumeration Date
09/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
State
Zip
11794-0001
Phone Number
631-638-1036
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
State
Zip
11794-0001
Phone Number
631-638-1036
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
405347 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
745153 (New York)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.