Individual provider · Type 1 NPI
Jungyun Basham, NP
Family Nurse Practitioner · Fresh Meadows, NY
NPI number
1669023370
Active
Practice location
7535 197th St
Fresh Meadows, NY 11366-1816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F344725 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669023370
Jungyun Basham, NP's National Provider Identifier is 1669023370, issued on Sep 24, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Sep 24, 2019.