Individual provider · Type 1 NPI
Jakyung Jung
Family Nurse Practitioner · Fresh Meadows, NY
NPI number
1164043139
Active
Practice location
6748 181st St
Fresh Meadows, NY 11365-3518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F345836 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1164043139
Jakyung Jung's National Provider Identifier is 1164043139, issued on Apr 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Apr 30, 2020.