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

Janella San Juan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639577422

Janella San Juan is a Nurse Practitioner in Longwood, Florida. Qualified in 2019, 7 years ago. Practices with Brightside Health Inc, a 215-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Florida, Illinois and North Carolina.

Years since qualifying
7
Licensed in
CA, FL, IL, NC
In the registry since
2014
Specialties on file
6
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Practice location Address checks out

1155 W Sr 434 # 150
Longwood, FL 32750-4987
Phone: (407) 917-3253
Fax: (855) 350-5708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11004193 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5022105 (NC)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN9386595 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95020218 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11004193 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209.034205 (IL)

Record details

NPI number1639577422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2014
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Brightside Health Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Longwood