IndividualActive
Jennifer Gordon, RN
NPI 1629003215 · Psychiatric/Mental Health Registered Nurse · Johnston, RI
Provider details
- NPI number
- 1629003215
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN40524 (RI)
Specialties & taxonomies
Nursing Service Providers
Practice location
1443 Hartford Ave
Johnston, RI 02919-3224
Phone: (401) 553-1033
Fax: (401) 861-8696
Approximate (ZIP-level) locationGet directions
Mailing address
249 Roosevelt Ave
Pawtucket, RI 02860-2134
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.