JANELLA SAN JUAN NPI 1639577422

NPI Information

  • NPI: 1639577422
  • Provider Name: JANELLA SAN JUAN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1155 W SR 434 ST 115
    #150
    LONGWOOD, FL
    ZIP 32750
  • Phone: (407) 900-9488

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NPI Details

Janella San Juan is a psychiatric/mental health nurse practitioner in Longwood, FL with 7 years of experience. 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: (407) 900-9488

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 10/24/2024.

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
1163WP0808XRegistered NursePsychiatric/Mental HealthRN9386595FLORIDANo
2363LF0000XNurse PractitionerFamilyAPRN11004193FLORIDANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11004193FLORIDAYes

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: 11/21/2025

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