| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA E GAGNON | 1184064214 | 2024-09-07 |
Jessica E Gagnon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184064214. Registration indicates Jessica E Gagnon is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:N DME:Y HHA:N PMD:Y |
| Entity Type | Individual |
| Provider Name | Jessica E Gagnon CFNP |
| Practice Office Address | 5317 S PADRE ISLAND DR CORPUS CHRISTI, TX US |
| Practice Office Telephone | 8556182134 |
| Mailing Address | 5317 S PADRE ISLAND DR CORPUS CHRISTI, TX 784114103 US |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 776114
TX |