JESSICA HYUNJI PARK (NPI# 1184244113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184244113 |
| Entity Type | Individual |
| Full Name | JESSICA HYUNJI PARK |
| Credential | MD |
| Practice Address |
420 Delaware Street Se Mmc 284 Minneapolis MN 55455 |
| Practice Telephone | 6126265454 |
| Mailing Telephone | 6126265454 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481617 | Jessica Jin Hee Park | Pharmacist | 12105 Falcon Crest Way, Porter Ranch, CA 91326-3896 | 2014-10-06 |
| 1942808837 | Jessica Elizabeth Park | Counselor | 3402 Washington Rd Ste 304, Mc Murray, PA 15317-2964 | 2020-10-13 |
| 1902422488 | Jessica Park | Social Worker | 140 N Frontage Rd, Mansfield Center, CT 06250-1648 | 2020-06-22 |
| 1790258184 | Jessica Park | Behavior Technician | 3443 Lilly Rd Ne Ste B, Olympia, WA 98506-3091 | 2019-01-08 |
| 1235620428 | Jessica Erin Park | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870-7153 | 2018-05-23 |
| 1487197885 | Jessica Park | Optometrist | 7700 W Arrowhead Towne Ctr, Suite 1136, Glendale, AZ 85308-8616 | 2016-12-02 |
| 1033581905 | Jessica Park | Pharmacist | 1833 N Milpitas Blvd, Milpitas, CA 95035-2734 | 2015-10-30 |
| 1285010603 | Jessica Park | Pharmacist | 6432 Losee Rd, North Las Vegas, NV 89086-0100 | 2015-08-07 |
| 1750676292 | Jessica L. Park | Pharmacist | 5717 Ne 138th Ave, Portland, OR 97230-3409 | 2011-06-13 |
| 1851568380 | Jessica G. Park | Physician Assistant | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2008-05-14 |
| Street Address |
420 DELAWARE STREET SE MMC 284 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699864611 | Heather A Thompson Buum | Internal Medicine | 420 Delaware Street Se, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-11 |
| 1912523622 | Michael Ryan Laffin | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-06-18 |
| 1457976367 | Andrew Olsen Arnold | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-06-16 |
| 1508488453 | Robert Freund | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc609, Mayo D142, Minneapolis, MN 55455 | 2020-05-14 |
| 1205457306 | Margaret Lynn Carroll Flint | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-29 |
| 1790305449 | Bellony Nzemenoh | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-23 |
| 1033739651 | Echko Holman | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-23 |
| 1851911671 | Robyn Michelle Marks | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1073133757 | Quinn Charles Bongers | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-22 |
| 1730709593 | Andrea Mary Johnson | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1831704923 | Chelsea Armbruster | Student in an Organized Health Care Education/Training Program | 1001 34th Ave Ne, Minneapolis, MN 55418-1336 | 2020-09-15 |
| 1588279715 | Lauren Snell | Student in an Organized Health Care Education/Training Program | 929 Portland Ave Apt 1104, Minneapolis, MN 55404-1256 | 2020-09-14 |
| 1962016840 | Leora Effinger-weintraub | Student in an Organized Health Care Education/Training Program | 3928 39th Ave S, Minneapolis, MN 55406-3431 | 2020-09-08 |
| 1235743279 | Marc Daniel Beitz | Student in an Organized Health Care Education/Training Program | 100 W Franklin Avenue, Suite 200, Minneapolis, MN 55404-3479 | 2020-09-08 |
| 1801409396 | Antoinette M Goodman | Student in an Organized Health Care Education/Training Program | 2800 Freeway Blvd Ste 105, Minneapolis, MN 55430-1751 | 2020-08-25 |
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1023639309 | Sarah G Curtis | Student in an Organized Health Care Education/Training Program | 701 Park Ave # G5.122, Minneapolis, MN 55415-1623 | 2020-04-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on JESSICA HYUNJI PARK.
| 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.