JIEUN JUNG


Address: 322 W 52nd St Unit 610, New York, NY 10101-9428
Phone: 9176553798

JIEUN JUNG (NPI# 1154580843) 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) 1154580843
Entity Type Individual
Full Name JIEUN JUNG
Practice Address 322 W 52nd St Unit 610
New York
NY 10101-9428
Mailing Address 322 W 52nd Street #610
New York
NY 10101-0610
Practice Telephone 9176553798
Mailing Telephone 9176553798
Enumeration Date 2008-06-06
Last Update Date 2013-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
401095 NY Physician Assistants & Advanced Practice Nursing Providers
N 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
F401095 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 322 W 52ND ST UNIT 610
City NEW YORK
State NY
Zip Code 10101-9428

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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...

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Competitor

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City NEW YORK
Zip Code 10101

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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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