Cynthia Michelle Gananian-Jackson, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Nice, CA
NPI 1891069084 · NPPES record last updated Mar 6, 2012
Key facts
- NPI
- 1891069084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- RN 309244 (CA)
- Practice address
- 3166 Lakeview Dr.
Nice, CA 95464 - Phone
- (707) 274-8955
- Fax
- (707) 274-6791
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 309244 | CA | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN 309244 | CA | Yes |
Addresses
Primary practice location
3166 Lakeview Dr.
Nice, CA 95464
Mailing address
PO Box 533
Nice, CA 95464-0533
Phone (707) 274-8955
Other providers in Nice, CA
- Gregory Douglas Barringer
- Better in Person Enterprises LLC
- Better in Person Inc
- CPM Consulting, LLC
- Richard John Halverson-Muenzer
- Lorree Ellen Lewis Crandell
- Michael A Newdow
- Nice Fire and Rescue Department
- Leon Joseph Roberts III
All providers in Nice, CA · Psychiatric/Mental Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.