Individual provider · Type 1 NPI
Jisung Park, MSN
Nurse Practitioner · Jackson, MS
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 984-6439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R896636 (MS) |
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 1609287267
Jisung Park, MSN's National Provider Identifier is 1609287267, issued on May 16, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Aug 21, 2014.