Individual provider · Type 1 NPI
Gail Dolores Jerideau-Pratt, R.N.
Adult Psychiatric/Mental Health Registered Nurse · Canyon Lake, CA
NPI number
1154517092
Active
Practice location
30251 Channel Way Dr
Canyon Lake, CA 92587-7986
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 459851 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1154517092
Gail Dolores Jerideau-Pratt, R.N.'s National Provider Identifier is 1154517092, issued on Sep 24, 2007. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Canyon Lake, CA. The record was last updated on Sep 24, 2007.