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

Jessica Baker-Gordon

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912707779

Jessica Baker-Gordon is a Nurse Practitioner in East Patchogue, New York. Qualified in 2017, 9 years ago. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2025

Practice location Address checks out

640 Gazzola Dr
East Patchogue, NY 11772-4952
Phone: (347) 351-4437
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 406871 (NY)

Record details

NPI number1912707779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 23, 2025
Certification dateMarch 23, 2025
Mailing address640 Gazzola Dr, East Patchogue, NY 11772-4952

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in East Patchogue