Brewington, Janise A

Brewington, Janise A is an individual health care provider with primary practice located at 4705 Alt 19 Ste B , Palm Harbor FL 34683-1424. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brewington, Janise A can be contacted via phone (727) 787-4875.

Contact Information

Primary practice address
4705 Alt 19 Ste B Palm Harbor FL 34683-1424
Phone: (727) 787-4875
Fax: (727) 786-9623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 031848-RN North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200856 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 031848-RN North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN1451072 Florida

Profile Details

NPI number 1770584807
LBN Legal business name Brewington, Janise A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770584807 NPPES
North Carolina MEDICAID 7005525

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