Individual provider · Type 1 NPI
Soh Ra Jung
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1942639745
Active
Practice location
411 E 82nd St Apt 4A
New York, NY 10028-6068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 407441 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942639745
Soh Ra Jung's National Provider Identifier is 1942639745, issued on Nov 2, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Oct 9, 2025.