Individual provider · Type 1 NPI
Jillian Marie Kwak
Family Nurse Practitioner · New York, NY
NPI number
1992539845
Active
Practice location
315 E 86th St Apt 2DE
New York, NY 10028-4761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 354987 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992539845
Jillian Marie Kwak's National Provider Identifier is 1992539845, issued on Aug 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Aug 30, 2024.