JANELLA SAN JUAN NPI 1639577422

NPI Information

NPI: 1639577422
Provider Name: JANELLA SAN JUAN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1155 W SR 434 ST 115
#150
LONGWOOD, FL
ZIP 32750
Phone: (855) 679-1034
Get Directions

Janella San Juan is a psychiatric/mental health nurse practitioner in Longwood, FL. Janella San Juan NPI is 1639577422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1155 W SR 434 ST 115
#150
LONGWOOD, FL
ZIP 32750
Phone: (855) 679-1034

The NPI 1639577422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 7/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN11004193	FLORIDA	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN9386595	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11004193	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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