# JANELLA SAN JUAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639577422
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN9386595 | FL | — |
| 363LF0000X | Family Nurse Practitioner | APRN11004193 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209.034205 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5022105 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95020218 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN11004193 | FL | Yes |

## Other

- **Enumeration date:** 12/11/2014
- **Last updated:** 06/26/2026