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Eunjoo Jeon
Primary Care Nurse Practitioner in Brentwood, New York
NPI 1518508274

Eunjoo Jeon is a Primary Care Nurse Practitioner based in E Northport, NY and is specialized in Primary Care. Eunjoo Jeon practices in Brentwood, NY. The NPI Number for Eunjoo Jeon is 1518508274 and holds a License No. 343467 (New York).

The current practice location address for Eunjoo Jeon is 1235 Suffolk Ave, Brentwood, NY and can be reached out via phone at 631-436-7770.

Location: 1235 Suffolk Ave, Brentwood, NY, 11731-2319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518508274
Provider Name
Eunjoo Jeon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1235 Suffolk Ave, Brentwood, NY, 11731-2319
Phone Number
631-436-7770
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1235 Suffolk Ave
City
Brentwood
State
New York
Zip
11717-4511
Phone Number
631-436-7770
Fax Number
person
Provider Business Mailing Address Details
Address
1235 Suffolk Ave
City
Brentwood
State
New York
Zip
11717-4511
Phone Number
631-436-7770
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
343467 (New York)
Definition
Definition to come...
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