Provider Demographics
NPI:1669165957
Name:BRAND, JAYNA
Entity type:Individual
Prefix:
First Name:JAYNA
Middle Name:
Last Name:BRAND
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JAYNA
Other - Middle Name:
Other - Last Name:PAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4806 STURTEVANT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-1478
Mailing Address - Country:US
Mailing Address - Phone:313-207-7728
Mailing Address - Fax:
Practice Address - Street 1:19740 JAMES COUZENS FWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1936
Practice Address - Country:US
Practice Address - Phone:313-207-7728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant