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

Jenney Jenean Gannon, BSN, RN, INTERN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710759550

Jenney Jenean Gannon, BSN, RN, INTERN is a Nurse Practitioner in Everett, Washington. Qualified in 2024, 2 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2023
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1321 Colby Ave
Everett, WA 98201-1665
Phone: (425) 258-7390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4526 Federal Ave, Everett, WA 98203-2132 — (425) 349-6200

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61528738 (WA)

Record details

NPI number1710759550
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN , RN , INTERN
Sole proprietorNo
NPI enumeratedOctober 25, 2023
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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