Individual provider · Type 1 NPI

Peter Jaesung Jo

Family Nurse Practitioner · Flushing, NY

NPI number 1003526427 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X350897 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1003526427

Peter Jaesung Jo's National Provider Identifier is 1003526427, issued on Nov 28, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Flushing, NY. The record was last updated on Jan 10, 2023.