Jung, Ji Soo Jacquelyn
Jung, Ji Soo Jacquelyn is an sole proprietor health care provider with primary practice located at 401 North Broadway Room 1123, Baltimore MD 21231-2410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jung, Ji Soo Jacquelyn can be contacted via phone (443) 287-7990.Contact Information
Primary practice address
401 North Broadway Room 1123
Baltimore MD 21231-2410
Phone: (443) 287-7990
Fax: (443) 287-0108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R131208 | Maryland |
Profile Details
| NPI number | 1326203183 |
|---|---|
| LBN Legal business name | Jung, Ji Soo Jacquelyn |
| Credentials | CRNP-ACUTE CARE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | May 8th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326203183 | NPPES |
| Maryland | MEDICAID | 062820400 |
Popular Providers
-
Sikora, Jo Ann Hoffman
22 S Greene St N4W94, Baltimore MD 21201-1544 -
Brown, Jean R.
201 E University Pkwy , Baltimore MD 21218-2829 -
Ullrich, Susan Lynn
600 N Wolfe St Blalock 618, Baltimore MD 21287-0005 -
Patton, Jill A
600 N Wolfe St , Baltimore MD 21287-0005 -
Stanik - Hutt, Julie Ann
525 N Wolfe St , Baltimore MD 21205-2110 -
Coleman, Joann
401 N Broadway Suite 1440, Baltimore MD 21231-1146 -
Erb, Melanie
601 N Caroline St Suite 8168, Baltimore MD 21287-0006 -
Verceles, Michelle L
3407 Wilkens Ave Ste 300 , Baltimore MD 21229-5222