Individual provider · Type 1 NPI
Jeong Yeon Kang Park
Family Nurse Practitioner · Tampa, FL
NPI number
1447793450
Active
Practice location
2203 N Lois Ave Ste 814
Tampa, FL 33607-2388
Fax (800) 608-5633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | ARNP9369012 (FL) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1447793450
Jeong Yeon Kang Park's National Provider Identifier is 1447793450, issued on Nov 22, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tampa, FL. The record was last updated on Dec 12, 2025.