Individual provider · Type 1 NPI
Jungyung Ko, NP
Adult Health Nurse Practitioner · Atlanta, GA
NPI number
1760711774
Active
Practice location
1365 Clifton Rd NE
Atlanta, GA 30322
Fax (404) 367-3558
Mailing address
3211 Briarcliff Gables Cir NE
Atlanta, GA 30329-2446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1619883 (CO) |
| Hospitalist Physician | 208M00000X | RN185605 (GA) |
| Adult Health Nurse Practitioner | 363LA2200X | SP010618 (PA) |
| Adult Health Nurse Practitioner | 363LA2200X | 0990839 (CO) |
| Gerontology Nurse Practitioner | 363LG0600X | 185605 (GA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 185605 (GA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1760711774
Jungyung Ko, NP's National Provider Identifier is 1760711774, issued on Dec 22, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Atlanta, GA. The record was last updated on Jul 18, 2018.