JUNG YOEN SON


Address: 2274 Golfview Dr, Apt 202, Troy, MI 48084-3848
Phone: 7347173343

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2274 GOLFVIEW DR
APT 202
City TROY
State MI
Zip Code 48084-3848

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1174030175 Alexander Scott Kinesiotherapist 3250 W. Big Beaver Rd., Troy, MI 48084 2017-12-29
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City TROY
Zip Code 48084

Improve Information

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Dataset Information

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.

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