Individual provider · Type 1 NPI

Jenne Deann Gough, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Moore, OK

NPI number 1639733884 Active

Practice location

1105 SW 30th Ct
Moore, OK 73160-2887

Other practice locations

  • 216 S Main St, Hobart, OK 73651-3628 · (580) 726-2452

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X105924 (OK)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X225001 (OK)

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

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About NPI 1639733884

Jenne Deann Gough, APRN, PMHNP-BC's National Provider Identifier is 1639733884, issued on Apr 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Moore, OK. The record was last updated on Feb 12, 2026.