Individual provider · Type 1 NPI

Brieanna Lee Jung, PA-C

Surgical Physician Assistant · Coeur D Alene, ID

NPI number 1861386443 Active

Practice location

700 W Ironwood Dr Ste 341
Coeur D Alene, ID 83814-4404

Call (208) 625-5200 Map

Mailing address

9702 N Hauser Lake Rd
Hauser, ID 83854-5528

Other practice locations

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 · (208) 625-5200

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400X8671366 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1861386443

Brieanna Lee Jung, PA-C's National Provider Identifier is 1861386443, issued on Jun 6, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Coeur D Alene, ID. The record was last updated on Dec 18, 2025.