Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanelle Brusseau

Individual provider Medical Physician Assistant · NPI 1467291179

Chanelle Brusseau is a Medical Physician Assistant in Panama City, Florida. Licensed in Connecticut and Florida. Registered with an NPI since 2024.

Licensed in
CT, FL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

500 W 11th St
Panama City, FL 32401-6304
Phone: (850) 785-8557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9119597 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 6673 (CT)

Record details

NPI number1467291179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address500 W 11th St, Panama City, FL 32401-6304

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