Provider Demographics
NPI:1073679387
Name:FISHER-GRIFFIS, JANMARIE (DNP, PMHNP, PMHCNS)
Entity Type:Individual
Prefix:DR
First Name:JANMARIE
Middle Name:
Last Name:FISHER-GRIFFIS
Suffix:
Gender:F
Credentials:DNP, PMHNP, PMHCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 RANCHO DEL ORO RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-1729
Mailing Address - Country:US
Mailing Address - Phone:760-643-4891
Mailing Address - Fax:
Practice Address - Street 1:1300 RANCHO DEL ORO RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056
Practice Address - Country:US
Practice Address - Phone:760-643-4891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3018132363LP0808X
FL3018132364SP0808X
IAG141441363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAG141441OtherIOWA BOARD OF NURSING
FL3018132OtherSTATE OF FLORIDA
FL3018132OtherSTATE OF FLORIDA