Provider Profile

Jacklyn Gannon

Unclaimed Profile

About Jacklyn Gannon

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Education & Training

School Other Graduated: 2023

Specialty

Nurse Practitioner — Psychiatric/Mental Health (Primary)
Nurse Practitioner — Psychiatric/Mental Health (Additional)

Credentials & Licensing

NY license745153
NY license405347
NPI1841078359
NPI issued09/18/2023

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jacklyn Gannon specialize in?

Jacklyn Gannon is a nurse practitioner in Stony Brook, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

Where is Jacklyn Gannon located?

Jacklyn Gannon is listed at 101 Nicolls Rd, Stony Brook, NY 11794. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jacklyn Gannon's phone number?

The number on file is (631) 638-1036. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Jacklyn Gannon?

Jacklyn Gannon's National Provider Identifier is 1841078359. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jacklyn Gannon train?

Jacklyn Gannon attended Other, graduating in 2023. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jacklyn Gannon have?

Jacklyn Gannon has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.

CMS public data

Is Jacklyn Gannon's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jacklyn Gannon. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.