P Praxis·MD
● Active Type 1 · Individual

Brieanna Lee Jung, PA-C

Physician Assistant·Coeur D Alene, ID· NPI 1861386443 · Enumerated 2025 · 0 years on NPI
Jung is 1 of 12 physician assistant providers in Coeur D Alene and 1 of 97 in Idaho.
NPI age
— years
Enumerated 2025-06-06
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 97 active physician assistant providers in Idaho.

NPI age
0 years
↓ 13 yr below median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 56% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-06Enumerated in NPPES
2025 2026

Where they practice

Practice location
700 W Ironwood Dr Ste 341
Coeur D Alene, ID 838144404
📞 2086255200
Mailing address
9702 N Hauser Lake Rd
Hauser, ID 838545528
📞 2087042604

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086255200fax 2086255201

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #8671366 taxonomy 363AS0400X
  • Physician Assistant
    Definition to come...
    taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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