Individual provider · Type 1 NPI

Jae Heon Jung

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1154216588 Active

Practice location

2301 N Lake Dr
Milwaukee, WI 53211

Call (414) 527-8415 Map

Mailing address

2400 W Villard Avenue
Milwaukee, WI 53209

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 1154216588

Jae Heon Jung's National Provider Identifier is 1154216588, issued on Jun 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 9, 2026.