Back, Jiyoung

Back, Jiyoung is an individual health care provider with primary practice located at 26 Greenville Ave , Jersey City NJ 07305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Back, Jiyoung can be contacted via phone (201) 333-8222.

Contact Information

Primary practice address
26 Greenville Ave Jersey City NJ 07305
Phone: (201) 333-8222
Fax: (201) 333-9500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 338354 New Jersey

Profile Details

NPI number 1598170656
LBN Legal business name Back, Jiyoung
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2014
Last updated Mar 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598170656 NPPES
New Jersey MEDICAID 0595624

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