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Jisung Park, MSN
Nurse Practitioner in Jackson, Mississippi
NPI 1609287267

Jisung Park is a Nurse Practitioner based in Jackson, MS. Jisung Park practices in Jackson, MS and has the professional credentials of MSN. The NPI Number for Jisung Park is 1609287267 and holds a License No. R896636 (Mississippi).

The current practice location address for Jisung Park is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-6426 and via fax at 601-984-6439.

Location: 2500 N State St, Jackson, MS, 39216-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609287267
Provider Name
Jisung Park
Credential
MSN
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-6426
Fax Number
601-984-6439
Provider Enumeration Date
05/16/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03778200 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-6426
Fax Number
601-984-6439
person
Provider Business Mailing Address Details
Address
2500 N State St
City
Jackson
State
Mississippi
Zip
39216-4500
Phone Number
601-984-6426
Fax Number
601-984-6439
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R896636 (Mississippi)
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.
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