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Individual
MR. JASON GADNER ELIASSAINT
Active
Individual
MR. JASON GADNER ELIASSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
R189215
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R189215
MD
Other
Enumeration date
01/07/2020
Last updated
06/13/2025
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