Individual provider · Type 1 NPI
Sang Mi Jeon, AGPCNP-BC
Nurse Practitioner · Southbridge, MA
Practice location
100 South St
Southbridge, MA 01550-4051
Fax (508) 909-7735
Mailing address
PO Box 415348
Boston, MA 02241-5348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN2284588 (MA) |
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 1306221858
Sang Mi Jeon, AGPCNP-BC's National Provider Identifier is 1306221858, issued on Jul 27, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southbridge, MA. The record was last updated on Feb 27, 2026.