Individual provider · Type 1 NPI
Jinsook Kwack, FNP
Family Nurse Practitioner · Phoenix, AZ
NPI number
1740721869
Active
Practice location
2121 N 44th St
Phoenix, AZ 85008-3224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95005934 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740721869
Jinsook Kwack, FNP's National Provider Identifier is 1740721869, issued on Mar 9, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 14, 2026.