Individual provider · Type 1 NPI

Katie Jiyeong Jang

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1689425829 Active

Practice location

22201 Moross Rd Ste 250
Detroit, MI 48236-2175

Call (313) 343-3423 Map

Fax (313) 343-3401

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689425829

Katie Jiyeong Jang's National Provider Identifier is 1689425829, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 7, 2025.