Provider Demographics
NPI:1760901292
Name:JANSSEN, BRIANNA MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:MARIE
Last Name:JANSSEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BRIANNA
Other - Middle Name:MARIE
Other - Last Name:PANCIONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:8200 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2099
Mailing Address - Country:US
Mailing Address - Phone:561-964-1111
Mailing Address - Fax:
Practice Address - Street 1:8200 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2099
Practice Address - Country:US
Practice Address - Phone:561-964-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9112026363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical