Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CYNTHIA MICHELLE GANANIAN-JACKSON, RN
Active Sole ProprietorMS. CYNTHIA MICHELLE GANANIAN-JACKSON, RN is a Child & Adolescent Psychiatric Nurse healthcare provider located in NICE, California. NPI 1891069084 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · NICE, CA
Registration Details
- NPI Number
- 1891069084
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2012 (14.475114205225 yrs)
- Last Updated
- Mar 6, 2012
- License
-
RN 309244 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3166 LAKEVIEW DR.NICE, CA, 95464Browse CA providers · Browse ZIP 95464
- Phone
- 7072748955
- Fax
- 7072746791
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.