Individual provider · Type 1 NPI
Jessica Baker-Gordon
Psychiatric/Mental Health Nurse Practitioner · East Patchogue, NY
NPI number
1912707779
Active
Practice location
640 Gazzola Dr
East Patchogue, NY 11772-4952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 406871 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912707779
Jessica Baker-Gordon's National Provider Identifier is 1912707779, issued on Mar 19, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Patchogue, NY. The record was last updated on Mar 23, 2025.