Individual provider · Type 1 NPI

Jennifer Gordon, RN

Psychiatric/Mental Health Registered Nurse · Johnston, RI

NPI number 1629003215 Active

Practice location

1443 Hartford Ave
Johnston, RI 02919-3224

Fax (401) 861-8696

Mailing address

249 Roosevelt Ave, Suite 205
Pawtucket, RI 02860-2134

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN40524 (RI)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1629003215

Jennifer Gordon, RN's National Provider Identifier is 1629003215, issued on Jul 11, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Johnston, RI. The record was last updated on Jul 9, 2007.