Individual provider · Type 1 NPI
Jane Park
Nurse Practitioner · Bronx, NY
Practice location
4422 3rd Ave
Bronx, NY 10457-2545
Fax (718) 960-9361
Mailing address
1424 Outlook Ave Apt 1
Bronx, NY 10465-1184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F347367 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1174297857
Jane Park's National Provider Identifier is 1174297857, issued on Aug 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bronx, NY. The record was last updated on Jan 10, 2022.