Provider Demographics
NPI:1487282471
Name:JUNGELS, BRIEANNE R (MD)
Entity type:Individual
Prefix:DR
First Name:BRIEANNE
Middle Name:R
Last Name:JUNGELS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:415 S WALNUT ST STE 221
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2993
Mailing Address - Country:US
Mailing Address - Phone:812-523-7852
Mailing Address - Fax:812-523-7853
Practice Address - Street 1:415 S WALNUT ST STE 221
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2993
Practice Address - Country:US
Practice Address - Phone:812-523-7852
Practice Address - Fax:812-523-7853
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01093773A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry