Individual provider · Type 1 NPI

Shin Park

Ambulatory Care Registered Nurse · Jacksonville, FL

NPI number 1952267700 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201XRN9166956 (FL)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1952267700

Shin Park's National Provider Identifier is 1952267700, issued on Dec 24, 2025. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 24, 2025.