YEO JIN MOON (NPI# 1285169474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285169474 |
| Entity Type | Individual |
| Full Name | YEO JIN MOON |
| Credential | CRNP |
| Practice Address |
4300 Londonderry Rd Ste 202 Harrisburg PA 17109-5317 |
| Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7177246780 |
| Practice Fax Number | 7177246781 |
| Mailing Telephone | 7177246780 |
| Mailing Fax Number | 7177246781 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 252680 | GA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP020567 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
252680 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5134 Peachtree Rd, Chamblee, GA 303412724 | 6788727100 |
| Street Address |
4300 LONDONDERRY RD STE 202 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1073154340 | Jamie Katherine Barlow | Nurse Practitioner | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109-5317 | 2019-10-08 |
| 1346893401 | Jessica Danielle Striebig | Physician Assistant | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109-5317 | 2019-07-18 |
| 1245896554 | Janice Elizabeth Williams | Nurse Practitioner | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109-5317 | 2019-05-13 |
| 1215411004 | Julia L Verbiar | Genetic Counselor, MS | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109-5317 | 2018-09-18 |
| 1558782565 | Jennifer Lou Ashbridge | Midwife | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109-5317 | 2013-12-17 |
| 1578805792 | Meagan Elizabeth Smith | Genetic Counselor, MS | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109-5317 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| 1013102870 | Shoe Fly Shoe, Inc. | Durable Medical Equipment & Medical Supplies | Rt 22 & Colonial Rd, Colonial Park Mall/irvings Shoe Fly, Harrisburg, PA 17109 | 2007-09-13 |
| Find all providers in zip 17109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409711 | Jessica Marie Bell | Nurse Practitioner | 4760 Union Deposit Rd Ste 100, Harrisburg, PA 17111-3744 | 2020-05-26 |
| 1043848914 | Barbara Klinger | Nurse Practitioner | 2448 Aspen Way, Harrisburg, PA 17110-1711 | 2020-03-27 |
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1396397253 | Ellie Ann Hillard | Nurse Practitioner | 100 N Cameron St Ste 201e, Harrisburg, PA 17101-2412 | 2019-07-11 |
| 1881252989 | Jennifer Olewine | Nurse Practitioner | 8811 Savannah Rd, Harrisburg, NC 28075-7647 | 2019-06-04 |
| 1578030367 | Michelle Lee Heim | Nurse Practitioner | 4700 Union Deposit Rd Ste 240, Harrisburg, PA 17111-3774 | 2018-10-30 |
| 1972058857 | Fredericka Brooks | Nurse Practitioner | 1989 Woodstream Rd, Harrisburg, NC 28075-8341 | 2016-08-19 |
| 1548630551 | Harrisburg Medical Partners, LLC | Nurse Practitioner | 2023 North 2nd Street, Suite 111, Harrisburg, PA 17102 | 2015-10-02 |
| 1588058895 | Teresa Williams | Nurse Practitioner | 209 N Illinois St, Harrisburg, AR 72432-1243 | 2015-03-25 |
| 1891117586 | Adam Furfari | Nurse Practitioner | 2835 N Front St, Harrisburg, PA 17110-1222 | 2014-01-14 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
Please comment or provide details below to improve the information on YEO JIN MOON.
| 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.