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JACKLYN GANNON
Psychiatric/Mental Health Nurse Practitioner
NPI: 1841078359IndividualAccepts Medicare
Specialties, Licenses & Credentials
Emergency Registered Nurse
Registered Nurse — Emergency
Code: 163WE0003X
745153(NY)
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
405347(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 101 NICOLLS RD
STONY BROOK, NY 11794 - Phone
- (631) 638-1036
Quick Facts
- NPI
- 1841078359
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 3
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