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Jenny Park
Nurse Practitioner in Charlotte, North Carolina
NPI 1497192728

Jenny Park is a Nurse Practitioner based in Charlotte, NC. Jenny Park practices in Charlotte, NC. The NPI Number for Jenny Park is 1497192728 and holds a License No. APRN002222 (North Carolina).

The current practice location address for Jenny Park is 1718 E 4Th St Ste 807, Charlotte, NC and can be reached out via phone at 704-316-3297.

Location: 1718 E 4Th St Ste 807, Charlotte, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497192728
Provider Name
Jenny Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
1718 E 4Th St Ste 807, Charlotte, NC, 28260-0447
Phone Number
704-316-3297
Fax Number
Provider Enumeration Date
05/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1718 E 4Th St Ste 807
City
Charlotte
State
North Carolina
Zip
28204-3280
Phone Number
704-316-3297
Fax Number
person
Provider Business Mailing Address Details
Address
1718 E 4Th St Ste 807
City
Charlotte
State
North Carolina
Zip
28204-3280
Phone Number
704-316-3297
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5009817 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F3064361 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
APRN002222 (Nevada)
Definition
Definition to come...
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