Individual provider · Type 1 NPI

Jamie Park, NP

Family Nurse Practitioner · Englewood, NJ

NPI number 1477873107 Active

Practice location

200 Grand Ave Ste 203
Englewood, NJ 07631-4363

Call (201) 588-0444 Map

Mailing address

24 Campbell Ave
Airmont, NY 10901-6302

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X02200576964 (NY)
Family Nurse Practitioner Primary 363LF0000X26NR00439400 (NJ)
Family Nurse Practitioner 363LF0000XF337600-1 (NY)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1477873107

Jamie Park, NP's National Provider Identifier is 1477873107, issued on Jun 4, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Englewood, NJ. The record was last updated on Dec 21, 2016.