Healthcare Provider Details

I. General information

NPI: 1427965144
Provider Name (Legal Business Name): BRIANNA JANSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 CHAUCER DR
NEWARK DE
19713-3827
US

IV. Provider business mailing address

81 CHAUCER DR
NEWARK DE
19713-3827
US

V. Phone/Fax

Practice location:
  • Phone: 302-635-4563
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License NumberL1-0054401
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberL1-0054401
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: