Individual provider · Type 1 NPI
Jiyeon Park
Adult Health Nurse Practitioner · Astoria, NY
NPI number
1457018384
Active
Practice location
2534 Crescent St Apt 2E
Astoria, NY 11102-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F310534-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1457018384
Jiyeon Park's National Provider Identifier is 1457018384, issued on Nov 27, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Astoria, NY. The record was last updated on Nov 27, 2021.