JERRY GENUNG
NPI 1013078864
Registered Nurse - Psychiatric/Mental Health in Santa Rosa, CA
Active since December 13, 2006
About Jerry Genung NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY GENUNG (NPI 1013078864) is an individual psychiatric/mental health provider in Santa Rosa, California, licensed in California (293927) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1013078864
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameJERRY GENUNG
Location Address3322 CHANATE RDSanta Rosa, CA 95404-1708
Mailing Address3322 Chanate RdSanta Rosa, CA 95404-1708
Phone(707) 565-4970
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 7, 2014
✔ NPI 1013078864 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 293927
3322 CHANATE RD, Santa Rosa, CA 95404
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013078864, enumerated as an "individual" on December 13, 2006.
The provider is located at 3322 CHANATE RD SANTA ROSA, CA 95404 and the phone number is (707) 565-4970.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.
