Jackie Gonzalez
NPI 1407670094 · Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD
Jackie Gonzalez is a Psychiatric/Mental Health Nurse Practitioner provider in Waldorf, MD (NPI 1407670094).
Provider details
- NPI number
- 1407670094
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R131587 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-11
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Frequently asked questions
- What is Jackie Gonzalez's NPI number?
- Jackie Gonzalez's National Provider Identifier (NPI) is 1407670094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Gonzalez's specialty?
- Jackie Gonzalez is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackie Gonzalez located?
- Jackie Gonzalez's practice location on file with NPPES is 4307 Eagle Trace Ct, Waldorf, MD 20602-3116.
- What is Jackie Gonzalez's phone number?
- The practice phone number listed in the NPPES registry for Jackie Gonzalez is (301) 351-7881.
- Is Jackie Gonzalez's NPI active?
- Yes — Jackie Gonzalez's NPI (1407670094) is active in the NPPES registry as of the last update on 2024-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.