Jeanine P Paul, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN65516 Issued in NV

Practice address

480 Galletti Way BLDG 25
Room #406
Sparks, NV 89431-5564

Phone

(775) 688-3367

NPI assigned

Jun 24, 2008

Last updated

Jan 25, 2017By the provider in NPPES

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

• Jeanine P Garrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1023279833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GALLETTI WAY BLDG 25",
            "address_2": "ROOM #406",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315564",
            "telephone_number": "775-688-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GALLETTI WAY BLDG 25",
            "address_2": "ROOM #406",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315564",
            "telephone_number": "775-688-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JEANINE",
        "middle_name": "P",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NV",
            "license": "RN65516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "GARRISON",
            "middle_name": "P",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyson Pate, M.S. CFY-SLP
• Mayur Udayan Patel, MD
• Aditi Patkar
• Mary Esther Patterson, CERTIFIED NURSE-MIDW
• Paul W. Hiss, MD, LTD (Eye Care Associates of Nevada)
• Kellie Paul
• Paula's House
• Brittney Pauli
• Ira Pauly, M.D.
• Christine Yvette Pebbles, APRN

• Adult Psychiatric/Mental Health Registered Nurse in Sparks, NV
• Providers in Sparks, NV by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.