Individual provider · Type 1 NPI

Jenny Park

Nurse Practitioner · Charlotte, NC

NPI number 1497192728 Active

Practice location

1718 E 4th St Ste 807
Charlotte, NC 28204-3280

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 525 E 70th St Ste 307, New York, NY 10065 · (646) 962-7950
  • 525 E 70th St Ste 307, New York, NY 10065 · (646) 962-7950

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAPRN002222 (NV)
Primary Care Nurse Practitioner 363LP2300XF3064361 (NY)
Nurse Practitioner Primary 363L00000X5009817 (NC)

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 1497192728

Jenny Park's National Provider Identifier is 1497192728, issued on May 28, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 17, 2018.