MRS. HANNA LEE PARK (NPI# 1538553623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538553623 |
| Entity Type | Individual |
| Full Name | MRS. HANNA LEE PARK |
| Credential | FNP-C |
| Practice Address |
11459 Johns Creek Pkwy Ste 250 Johns Creek GA 30097-3517 |
| Mailing Address |
11459 Johns Creek Pkwy Johns Creek GA 30097-3515 |
| Practice Telephone | 7704971555 |
| Practice Fax Number | 7704979998 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN205794 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424425 | Hanna Park | Nurse Practitioner | 7204 Foothill Blvd, Tujunga, CA 91042-2719 | 2020-07-22 |
| 1679815898 | Hanna Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne Rm 8830, Grand Rapids, MI 49503 | 2013-03-26 |
| 1386633626 | Hanna Yemimi Park | Optometrist | 11082 Rockville Pike, Suite B, Rockville, MD 20852 | 2005-10-19 |
| 1750796959 | Hanna Park | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2014-06-25 |
| 1467886622 | Hanna Woo Park | Dentist | 1795 Main St, Suite 215, Springfield, MA 01103-1077 | 2013-08-23 |
| Street Address |
11459 JOHNS CREEK PKWY STE 250 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174048474 | Monique Jennifer Stage | Nurse Practitioner | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2017-08-08 |
| 1477901577 | Thomas Mcginn | Family Medicine | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2016-05-30 |
| 1174988828 | Caitlin Hickok | Registered Nurse | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2015-12-23 |
| 1588039143 | Kelly Miskovic | Physician Assistant | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2015-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1508412453 | Eugeniu Boris Cucuta | Nurse Practitioner | 3000 Old Alabama Rd Ste 128a, Johns Creek, GA 30022-1901 | 2019-08-16 |
| 1487121679 | Michelle Chun | Nurse Practitioner | 10710 Medlock Bridge Rd Ste 150, Johns Creek, GA 30097-2440 | 2018-10-26 |
| 1912492489 | Kelsey Rolwood | Nurse Practitioner | 11705 Jones Bridge Rd Ste A201, Johns Creek, GA 30005-5080 | 2018-06-27 |
| 1902108491 | Roseline Makinde | Nurse Practitioner | 5808 State Bridge Rd, Johns Creek, GA 30097-6476 | 2010-12-03 |
| 1902448012 | Melanie Carroll Steen | Nurse Practitioner | 10692 Medlock Bridge Rd Ste 100a, Johns Creek, GA 30097-8497 | 2019-10-09 |
| 1922595099 | Jennifer Rosson | Nurse Practitioner | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2018-04-15 |
| 1205334661 | Vy Vy Ann Thi Pham | Nurse Practitioner | 11705 Jones Bridge Rd, Johns Creek, GA 30005-5078 | 2018-01-30 |
| 1174048474 | Monique Jennifer Stage | Nurse Practitioner | 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097-3517 | 2017-08-08 |
| 1063962702 | Reagan O'connor | Nurse Practitioner | 11705 Jones Bridge Rd, A201, Johns Creek, GA 30005-5078 | 2016-10-06 |
| Find all providers in JOHNS CREEK | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
Please comment or provide details below to improve the information on MRS. HANNA LEE 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.