Individual provider · Type 1 NPI

Jonathan Jaesung Park, DO

Student in an Organized Health Care Education/Training Program · Fredericksburg, VA

NPI number 1740083286 Active

Practice location

12101 Carol Ln Ste 101
Fredericksburg, VA 22407-6104

Call (540) 741-9033 Map

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 1740083286

Jonathan Jaesung Park, DO's National Provider Identifier is 1740083286, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fredericksburg, VA. The record was last updated on Mar 31, 2025.