Provider Demographics
NPI:1437907755
Name:GAYDEN, JHANYRIA
Entity type:Individual
Prefix:
First Name:JHANYRIA
Middle Name:
Last Name:GAYDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1237
Mailing Address - Country:US
Mailing Address - Phone:585-317-9099
Mailing Address - Fax:
Practice Address - Street 1:53 THOMAS ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1237
Practice Address - Country:US
Practice Address - Phone:585-317-9099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2782943164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse