JENNIFER GILLIGAN RN NP NPI 1922651231

NPI Information

  • NPI: 1922651231
  • Provider Name: JENNIFER GILLIGAN, RN, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 104 W 40TH ST
    NEW YORK, NY
    ZIP 10018
  • Phone: (646) 930-4147

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NPI Details

Jennifer Gilligan, RN, NP is a psychiatric/mental health nurse practitioner in New York, NY with 3 years of experience. Jennifer Gilligan, RN, NP NPI is 1922651231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2023

The provider's business location address is:

104 W 40TH ST
NEW YORK, NY
ZIP 10018-617
Phone: (646) 930-4147

The NPI 1922651231 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 10/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)518774NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health404992NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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