Individual provider · Type 1 NPI

Ji Hye Park, FNP

Family Nurse Practitioner · Roseville, CA

NPI number 1063477016 Active

Practice location

1 Medical Plaza Dr
Roseville, CA 95661-3037

Fax (916) 781-5055

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X15502 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1063477016

Ji Hye Park, FNP's National Provider Identifier is 1063477016, issued on Apr 20, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roseville, CA. The record was last updated on Dec 13, 2019.