MRS. JENNIFER CLAIRE GAGNON


Address: 2807 N. Glebe Road, Marymount University, Student Health, Arlington, VA 22207
Phone: 7032841610

MRS. JENNIFER CLAIRE GAGNON (NPI# 1770937617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770937617
Entity Type Individual
Full Name MRS. JENNIFER CLAIRE GAGNON
Credential APRN
Practice Address 2807 N. Glebe Road
Marymount University, Student Health
Arlington
VA 22207
Practice Telephone 7032841610
Practice Fax Number 7032843816
Mailing Telephone 7032841610
Mailing Fax Number 7032843816
Enumeration Date 2016-04-18
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024169116 VA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
0024169116 VA Physician Assistants & Advanced Practice Nursing Providers

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1205095577 Jennifer Mary Gagnon Physical Therapist 800 Prudential Dr, Jacksonville, FL 32207-8202 2008-06-03
1487821328 Jennifer J Gagnon Massage Therapist 2376 Main St, Suite 3, Ferndale, WA 98248-8605 2008-05-09
1609940477 Jennifer Gagnon Nurse Anesthetist, Certified Registered 8 Prospect St, Anesthesia Dept., Nashua, NH 03060-3925 2006-11-20

Office Location

Street Address 2807 N. GLEBE ROAD
MARYMOUNT UNIVERSITY, STUDENT HEALTH
City ARLINGTON
State VA
Zip Code 22207

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NPI Name Taxonomy Address Enumeration
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1508121856 Ashanti Sade Fludd Home Health Aide 5010 22nd Street, North Arlington, VA 22207 2012-07-11
1619204609 Nathaniel Thomas Connally Jr. Internal Medicine 3563 N. Abingdon St., Arlington, VA 22207 2009-11-11
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1770784415 Edmund Russell Lynn Jr. Social Worker 6033 Little Falls Rd, Arlington, VA 22207 2007-05-30
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1740340751 Albert John Kalil Psychologist 4635 14th St North, Arlington, VA 22207 2006-12-11
1255417168 William David Lessne Dentist 2501 W Glebe Rd, Suite 102, Arlington, VA 22207 2006-10-31
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ARLINGTON
Zip Code 22207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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