MICHELLE JUNGAE PARK (NPI# 1558925743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558925743 |
| Entity Type | Individual |
| Full Name | MICHELLE JUNGAE PARK |
| Credential | NP-C |
| Practice Address |
4995 Lanier Islands Pkwy Buford GA 30518-1741 |
| Mailing Address |
8801 Dayflower Dr Ooltewah TN 37363-6932 |
| Practice Telephone | 6785465059 |
| Mailing Telephone | 3146602620 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
271767 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811525785 | Michelle S Park | Marriage & Family Therapist | 3801 23rd Ave Ste 415, Astoria, NY 11105-1532 | 2020-03-27 |
| 1740694918 | Michelle E Park | Dermatology | 2 5th Ave Unit 2, New York, NY 10011-8856 | 2014-06-16 |
| 1114579083 | Michelle Park | Counselor | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2019-07-11 |
| 1851895965 | Michelle Hae-min Park | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2018-03-22 |
| 1811428667 | Michelle Park | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, City Tower, Ste 400, Orange, CA 92868-3201 | 2017-03-23 |
| 1265976872 | Michelle Ju Hyun Park | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2016-12-15 |
| 1639613045 | Michelle Hansol Park | Pharmacist | 2690 Pacific Coast Hwy, Torrance, CA 90505-7038 | 2016-12-05 |
| 1366819708 | Michelle Anna Park | Pharmacist | 12254 Bellflower Blvd, Downey, CA 90242-2804 | 2015-09-01 |
| 1346616745 | Michelle Myoungwoo Park | Registered Nurse | 3075 Adeline St Ste 280, Berkeley, CA 94703-2580 | 2015-08-19 |
| 1528336039 | Michelle Park | Pharmacist | 22930 S Western Ave, Torrance, CA 90501-5112 | 2011-12-12 |
| Street Address |
4995 LANIER ISLANDS PKWY |
| City | BUFORD |
| State | GA |
| Zip Code | 30518-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598037434 | Glory Jason | Nurse Practitioner | 4995 Lanier Islands Pkwy, Buford, GA 30518-1741 | 2012-02-08 |
| 1982181152 | Diana Whatley | Nurse Practitioner | 4995 Lanier Islands Pkwy, Buford, GA 30518-1741 | 2018-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056764 | Lucy Greer Sorto | Nurse Practitioner | 3437 Big Leaf Ct, Buford, GA 30519-4633 | 2020-09-02 |
| 1427678259 | Cathy D Giomblanco | Nurse Practitioner | 3703 Southland Dr, Buford, GA 30519-7096 | 2020-04-22 |
| 1912538901 | Chinenye Nwokocha | Nurse Practitioner | 2000 Beyers Landing Dr, Buford, GA 30519-7180 | 2020-01-29 |
| 1538799762 | Erin Raeford | Nurse Practitioner | 2978 Hidden Falls Dr, Buford, GA 30519-4551 | 2020-01-15 |
| 1477107019 | Tikesha Perryman | Nurse Practitioner | 1421 Woodward Down Ct, Buford, GA 30519-5075 | 2019-07-31 |
| 1447754999 | Alexandra Bogle Roberts | Nurse Practitioner | 3200 Woodward Crossing Blvd Ste B108, Buford, GA 30519-5707 | 2018-03-20 |
| 1083127500 | Bunmi Yemisi Folarinde | Nurse Practitioner | 3616 S Bogan Rd Ste 202, Buford, GA 30519 | 2017-11-06 |
| 1588181853 | Vincent Spencer | Nurse Practitioner | 2128 Mill Garden Run, Buford, GA 30519 | 2017-08-27 |
| 1720509870 | Chidinma Nwadike | Nurse Practitioner | 3832 Mabry Ridge Dr, Buford, GA 30518-1683 | 2017-06-29 |
| 1437503679 | Margaret Naa Adjeley Odua Doku | Nurse Practitioner | 4445 S Lee St Ste 100, Buford, GA 30518-8806 | 2016-04-13 |
| Find all providers in BUFORD | ||||
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| 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.