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

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.

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
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

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.

Registered Nurse
1443 HARTFORD AVE, GATEWAY HEALTHCARE INC
JOHNSTON, RI 02919
Registered Nurse
1443 HARTFORD AVE
JOHNSTON, RI 02919
Registered Nurse
1443 HARTFORD AVE
JOHNSTON, RI 02919
Registered Nurse
1443 HARTFORD AVE
JOHNSTON, RI 02919
Registered Nurse
1443 HARTFORD AVE
JOHNSTON, RI 02919
Registered Nurse
1443 HARTFORD AVE
JOHNSTON, RI 02919
Counselor
1443 HARTFORD AVE
JOHNSTON, RI 02919
Counselor
1443 HARTFORD AVE
JOHNSTON, RI 02919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Gordon's NPI number?

The NPI number for Jennifer Gordon is 1629003215. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Jennifer Gordon located?

Jennifer Gordon practices at 1443 Hartford Ave, Johnston, RI 02919. The listed phone number is (401) 553-1033.

What is Jennifer Gordon's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jennifer Gordon was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.