Individual provider · Type 1 NPI
Min Jung Sophia Kang, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Jackson, MS
NPI number
1063889632
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 984-5842
Mailing address
2500N State St, Jmm Room 2525
Jackson, MS 39216-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R852417 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063889632
Min Jung Sophia Kang, PMHNP's National Provider Identifier is 1063889632, issued on Aug 30, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jackson, MS. The record was last updated on Aug 19, 2016.