IndividualActive
Brieanna Jung, PA-C
NPI 1861386443 · Surgical Physician Assistant · Coeur D Alene, ID
Provider details
- NPI number
- 1861386443
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
700 W Ironwood Dr Ste 341
Coeur D Alene, ID 83814-4404
Phone: (208) 625-5200
Approximate (ZIP-level) locationGet directions
Mailing address
9702 N Hauser Lake Rd
Hauser, ID 83854-5528
Additional practice locations (1)
- 2003 Kootenai Health WayCoeur D Alene, ID 83814-6051Phone: (208) 625-5200Fax: (208) 625-5201
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.