Individual provider · Type 1 NPI

Jinsun Jo

Primary Care Nurse Practitioner · Fresh Meadows, NY

NPI number 1881317733 Active

Practice location

16303 Horace Harding Expy Ste 100
Fresh Meadows, NY 11365-1449

Mailing address

7 Harding Ave
Roslyn Heights, NY 11577-2002

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XF349360-01 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1881317733

Jinsun Jo's National Provider Identifier is 1881317733, issued on Sep 26, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fresh Meadows, NY. The record was last updated on Sep 26, 2022.