# MR. JOSEPH RICHARD GAGNON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558904813
- **Gender:** Man
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN631678 | PA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP021305 | PA | Yes |

## Other

- **Enumeration date:** 10/18/2019
- **Last updated:** 08/19/2025