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NPI Code Detail

MEDICARE: MRS. BRIANNA MARIE JANSSEN PA-C

MEDICARE: MRS. BRIANNA MARIE JANSSEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9112026FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760901292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRIANNA MARIE JANSSEN PA-C
Provider Business Mailing Address
First Line : 8200 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2099
Country : US
Telephone Number : 561-964-1111
Fax Number :
Provider Business Practice Location Address
First Line : 8200 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2099
Country : US
Telephone Number : 561-964-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2017
Last Update Date : 03/04/2021

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