Sang Mi Jeon, AGPCNP-BC
Nurse Practitioner in Southbridge, Massachusetts
1306221858- Practice location
- 100 South St, Southbridge, MA 01550-4051
- Phone
- 508-756-9771
- Fax
- 508-909-7735
- Last updated
- February 27, 2026
Sang Mi Jeon is a Nurse Practitioner based in Southbridge, MA. Sang Mi Jeon practices in Southbridge, MA and has the professional credentials of AGPCNP-BC. The NPI Number for Sang Mi Jeon is 1306221858 and holds a License No. RN2284588 (MA). The current practice location address for Sang Mi Jeon is 100 South St, Southbridge, MA 01550-4051 and can be reached out via phone at 508-756-9771 and via fax at 508-909-7735.
Provider Profile Details
- NPI Number
- 1306221858
- Provider Name
- Sang Mi Jeon
- Credential
- AGPCNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 South St, Southbridge, MA 01550-4051
- Phone Number
- 508-756-9771
- Fax Number
- 508-909-7735
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 27, 2015
- Last Update Date
- February 27, 2026
- Certification Date
- February 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 South St
Southbridge, MA 01550-4051 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-4051
- Phone Number
- 508-756-9771
- Fax Number
- 508-909-7735
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
License Information
- License Number
- RN2284588
- License State
- MA
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sang Mi Jeon, AGPCNP-BC?
The NPI number of Sang Mi Jeon, AGPCNP-BC is 1306221858. It was assigned on July 27, 2015 and is currently active in the NPPES registry.
What is the specialty of Sang Mi Jeon, AGPCNP-BC?
Sang Mi Jeon, AGPCNP-BC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2284588.
Where does Sang Mi Jeon, AGPCNP-BC practice?
The practice location is 100 South St, Southbridge, MA 01550-4051. The office can be reached at 508-756-9771 (phone) or 508-909-7735 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306221858 directly on the NPPES registry website.