Provider Demographics
NPI:1144893892
Name:HARBIN, JANAN JARAYSI (PA-C)
Entity type:Individual
Prefix:
First Name:JANAN
Middle Name:JARAYSI
Last Name:HARBIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JANAN
Other - Middle Name:FADI
Other - Last Name:JARAYSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3341 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-7067
Mailing Address - Country:US
Mailing Address - Phone:205-529-9902
Mailing Address - Fax:
Practice Address - Street 1:1401 CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4647
Practice Address - Country:US
Practice Address - Phone:850-877-7241
Practice Address - Fax:850-877-1338
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2027363AM0700X
390200000X
FL9120028363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program