IndividualActive
Jenne Gough, APRN, PMHNP-BC
NPI 1639733884 · Psychiatric/Mental Health Nurse Practitioner · Moore, OK
Provider details
- NPI number
- 1639733884
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 105924 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1105 Sw 30th Ct
Moore, OK 73160-2887
Phone: (405) 378-2727
Approximate (ZIP-level) locationGet directions
Mailing address
1105 Sw 30th Ct
Moore, OK 73160-2887
Additional practice locations (1)
- 216 S Main StHobart, OK 73651-3628Phone: (580) 726-2452Fax: (580) 726-2483
Registry dates
- Enumerated
- 2019-04-23
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.