Jayla Elizabeth Brignac

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

061987681 Issued in GA

Practice address

12115 State Ave
Marysville, WA 98271-8585

Phone

(678) 977-4958

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1114765757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718585",
            "telephone_number": "678-977-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718585",
            "telephone_number": "678-977-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGNAC",
        "first_name": "JAYLA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "GA",
            "license": "061987681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Will John Breen VI, AA
• Shea M Breneman, D.C.
• Susan Lorrain Bridzell, LMP
• Candrea Bright
• Tracy Brigman, ARNP
• Vicki Lynn Britt, ARNP CS
• Elizabeth Danielle Brott
• Bartel Henri Broussard, PT, DPT
• Barron C Brown, MD
• David Gordon Brown, CHIROPRACTOR

• Technician/Technologist in Marysville, WA
• Providers in Marysville, WA by specialty
• Technician/Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.