Jacklyn Gannon is a Stony Brook, New York based nurse practitioner. Active license number of Jacklyn Gannon is 405347 for Psych/Mental Health in New York. Her current practice location is 101 Nicolls Rd, Stony Brook. Patients can reach her at 631-638-1036 and her NPI number (Unique professional ID assigned by NPPES) is 1841078359. Jacklyn Gannon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jacklyn Gannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1841078359
NPI Enumeration Date:
18 Sep, 2023
NPI Last Update On:
10 Oct, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacklyn Gannon are as mentioned below.
License Number
Specialization
State
Status
405347
Psych/Mental Health
New York
Primary
745153
Registered Nurse
New York
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jacklyn Gannon 55c Commodore Ln, West Babylon, New York
Zip:
11704-8203
Phone Number:
631-560-0970
Patients can reach Jacklyn Gannon at 101 Nicolls Rd, Stony Brook, New York or can call to book an appointment on 631-638-1036.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.