Jessica Lynne Gourley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N44039-01 Issued in NY

Practice address

5TH Armored Division Dr
Fort Drum, NY 13602

Phone

(315) 772-2552

NPI assigned

Sep 14, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Lynne Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1245141993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 MT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136022603",
            "telephone_number": "315-772-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH ARMORED DIVISION DR",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-772-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N44039-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MOORE",
            "middle_name": "LYNNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Anne Goens, LPN
• Peter Vernon Goetchius, PHYSICIAN ASSISTANT
• Alberto Gonzalez, LCSW
• Shelly J Gonzalez, LCSW
• Gwen Katherine Gostomski, DMD
• Gregory L Grau, AU.D.
• Dusten Green, DSW,LCSW, CASAC
• Lisa Green, DENTAL ASSISTANTEFDA
• Carolyn Greene, RDN
• Julie Grieco, DENTAL HYGIENIST

• Registered Nurse in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.