JENNIFER GORDON RN
NPI 1629003215
Registered Nurse - Psychiatric/Mental Health in Johnston, RI

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.

Active since July 11, 2006

1443 HARTFORD AVE, JOHNSTON, RI 02919(401) 553-1033(401) 861-8696 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Gordon Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER GORDON RN (NPI 1629003215) is an individual psychiatric/mental health provider in Johnston, Rhode Island, licensed in Rhode Island (RN40524) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1629003215

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameJENNIFER GORDONCredential: RN

Location Address1443 HARTFORD AVEJohnston, RI 02919-3224

Mailing Address249 Roosevelt Ave, Suite 205Pawtucket, RI 02860-2134 · (401) 724-8400 · Fax (401) 365-1100

Phone(401) 553-1033

Fax(401) 861-8696

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1629003215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in RI · RN40524

1443 HARTFORD AVE, Johnston, RI 02919

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Other Identifiers 1

MedicaidJG59470RI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN GUY RN

Registered Nurse

1443 HARTFORD AVE, GATEWAY HEALTHCARE INC
JOHNSTON, RI 02919

Providence County (401) 273-8700

BARBARA LECLERC RN

Registered Nurse