Active NPIIndividual provider

Youngjun Ju, FNP-C, ENP-C

Nurse Practitioner, Family in Malden, Massachusetts

NPI Number1346821519
Practice location
219 Centre St, Malden, MA 02148-5524
Fax
—
Last updated
September 2, 2024

Youngjun Ju is a Nurse Practitioner, Family based in Malden, MA. Youngjun Ju practices in Malden, MA and has the professional credentials of FNP-C, ENP-C. The NPI Number for Youngjun Ju is 1346821519 and holds a License No. 919228 (TX). The current practice location address for Youngjun Ju is 219 Centre St, Malden, MA 02148-5524 and can be reached out via phone at 781-322-7300.

Provider Profile Details

NPI Number
1346821519
Provider Name
Youngjun Ju
Credential
FNP-C, ENP-C
Provider Entity Type
Individual
Gender
Male
Address
219 Centre St, Malden, MA 02148-5524
Phone Number
781-322-7300
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2021
Last Update Date
September 2, 2024
Certification Date
September 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
219 Centre St
Malden, MA 02148-5524
City
Malden
Zip
02148-5524
Phone Number
781-322-7300
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
9135 Katy Fwy Ste 101
Houston, TX 77024-1636
City
Houston
State
TX
Zip
77024-1636
Phone Number
832-378-8990

License Information

License Number (1)
919228
License State (1)
TX
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
1047774
License State (2)
TX
Taxonomy (2)
Nurse Practitioner · 363L00000X
License Number (3)
RN2365915
License State (3)
MA
Taxonomy (3)
Nurse Practitioner · 363L00000X
License Number (4)
RN2365915
License State (4)
MA
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Family providers near Malden, MA

View all Nurse Practitioner, Family providers in Malden →

Frequently Asked Questions

What is the NPI number of Youngjun Ju, FNP-C, ENP-C?

The NPI number of Youngjun Ju, FNP-C, ENP-C is 1346821519. It was assigned on April 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Youngjun Ju, FNP-C, ENP-C?

Youngjun Ju, FNP-C, ENP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in TX under license number 919228.

Where does Youngjun Ju, FNP-C, ENP-C practice?

The practice location is 219 Centre St, Malden, MA 02148-5524. The office can be reached at 781-322-7300 (phone).

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 1346821519 directly on the NPPES registry website.

Browse related providers