Cynthia Michelle Gananian-Jackson, RN
Registered Nurse, Psych/Mental Health in Nice, CA. Individual provider (NPI-1).
NPI number1891069084
StatusActive
Last updated in NPPESMar 6, 2012
Details
- NPI
- 1891069084
- Entity type
- Individual (NPI-1)
- Name
- Ms. Cynthia Michelle Gananian-Jackson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2012
- Last updated
- Mar 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | RN 309244 | CA | Yes |
Practice location
3166 Lakeview Dr.Nice, CA 95464
Phone 707-274-8955 · Fax 707-274-6791
Mailing address
Po Box 533Nice, CA 95464-0533
Phone 707-274-8955 · Fax 707-274-6791
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