JUNG YOEN SON (NPI# 1033495643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033495643 |
Entity Type | Individual |
Full Name | JUNG YOEN SON |
Practice Address |
2274 Golfview Dr Apt 202 Troy MI 48084-3848 |
Practice Telephone | 7347173343 |
Mailing Telephone | 7347173343 |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704265166 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2274 GOLFVIEW DR APT 202 |
City | TROY |
State | MI |
Zip Code | 48084-3848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
Find all providers in zip 48084 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619976388 | Andrea Nicole Kwasky | Nurse Practitioner | 1639 E Big Beaver Rd Ste 201, Troy, MI 48083-2054 | 2005-07-15 |
1356959316 | Daniel Grant Pecan | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2475 | 2020-07-16 |
1912524190 | Jessica Nicole Pastva | Nurse Practitioner | 625 E Big Beaver Rd Ste 200, Troy, MI 48083-1434 | 2020-07-03 |
1740821958 | Kerri Lyn Outlaw | Nurse Practitioner | 1330 Highway 231 S, Troy, AL 36081-3058 | 2019-09-30 |
1003468273 | Kelly Lynne Mack | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2466 | 2019-07-09 |
1487215604 | Michael Franz Dunker | Nurse Practitioner | 550 Summit Ave, Troy, OH 45373-3047 | 2019-06-27 |
1811435217 | Laurie Lavin | Nurse Practitioner | 2001 5th Ave, Troy, NY 12180-3482 | 2017-02-06 |
1245772292 | Jacquelyn Terry | Nurse Practitioner | 1639 E Big Beaver Rd Ste 201, Troy, MI 48083-2054 | 2016-11-08 |
1316329006 | Samantha Lynn Lucca | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2466 | 2015-06-18 |
1033514930 | Sage College Welness Center - Troy | Nurse Practitioner | 65 1st St, Troy, NY 12180 | 2014-11-04 |
Find all providers in TROY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.