Provider Demographics
NPI:1932887023
Name:BRIGANTI, JESSICA ANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ANN
Last Name:BRIGANTI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:ANN
Other - Last Name:CASTANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3702 SW KAKOPO ST
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3627
Mailing Address - Country:US
Mailing Address - Phone:561-283-6161
Mailing Address - Fax:
Practice Address - Street 1:3702 SW KAKOPO ST
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-3627
Practice Address - Country:US
Practice Address - Phone:561-283-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11027237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily