Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeanine Gannon, CNP-PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912618117

Jeanine Gannon, CNP-PMHNP is a Nurse Practitioner in Attleboro, Massachusetts. Qualified in 2022, 4 years ago. Practices with Riverside Community Care Inc, a 118-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022

Practice location Address checks out

200 May St
Attleboro, MA 02703-5520
Phone: (508) 761-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2285655 (MA)

Record details

NPI number1912618117
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP-PMHNP
Sole proprietorNo
NPI enumeratedDecember 8, 2022
Last updated in NPPESDecember 8, 2022
Certification dateDecember 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Riverside Community Care Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Attleboro