Provider Demographics
NPI:1306323910
Name:GARCIA, JAYAN (ARNP)
Entity type:Individual
Prefix:
First Name:JAYAN
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JAYAN
Other - Middle Name:
Other - Last Name:RAYNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2579 SW 81ST TER UNIT 2557
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2484
Mailing Address - Country:US
Mailing Address - Phone:786-344-9393
Mailing Address - Fax:
Practice Address - Street 1:2579 SW 81ST TER UNIT 2557
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2484
Practice Address - Country:US
Practice Address - Phone:786-344-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9347378363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health