Individual provider · Type 1 NPI

Jaewon Moon

Student in an Organized Health Care Education/Training Program · Chapel Hill, NC

NPI number 1114745858 Active

Practice location

77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875

Fax (984) 974-3778

Mailing address

Department Of Psychiatry, Campus Box 7160
Chapel Hill, NC 27599-7160

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114745858

Jaewon Moon's National Provider Identifier is 1114745858, issued on Oct 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chapel Hill, NC. The record was last updated on May 14, 2026.