Park, Jenny

Park, Jenny is an sole proprietor health care provider with primary practice located at 1718 E 4Th St Ste 807 , Charlotte NC 28204-3280. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Park, Jenny can be contacted via phone (704) 316-3297.

Contact Information

Primary practice address
1718 E 4Th St Ste 807 Charlotte NC 28204-3280
Phone: (704) 316-3297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN002222 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F3064361 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5009817 North Carolina

Profile Details

NPI number 1497192728
LBN Legal business name Park, Jenny
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2013
Last updated Mar 17th, 2018 - about 7 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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