Park, Jamie

Park, Jamie is an sole proprietor health care provider with primary practice located at 200 Grand Ave Ste 203 , Englewood NJ 07631-4363. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Park, Jamie can be contacted via phone (201) 588-0444.

Contact Information

Primary practice address
200 Grand Ave Ste 203 Englewood NJ 07631-4363
Phone: (201) 588-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 02200576964 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NR00439400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F337600-1 New York

Profile Details

NPI number 1477873107
LBN Legal business name Park, Jamie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2010
Last updated Dec 21st, 2016 - about 8 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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