Ji Soo Jacquelyn Jung CRNP-ACUTE CARE

NPI 1326203183 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1326203183
Gender Female
Enumeration Date 07/22/2008
Last Updated 05/08/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
401 NORTH BROADWAY
ROOM 1123
BALTIMORE MD, 21231-2410, US
Phone (443) 287-7990
Fax (443) 287-0108
Business Location
401 NORTH BROADWAY
ROOM 1123
BALTIMORE MD, 21231-2410, US
Phone (443) 287-7990
Fax (443) 287-0108
Toxanomy
Taxonomy Code 363LA2100X
License State Maryland
License Number R131208
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According to our database, Ms. Ji Soo Jacquelyn Jung CRNP-ACUTE CARE NPI is 1326203183, taxonomy code is 363LA2100X and license number is R131208, license state is located at Maryland. Ji Soo Jacquelyn Jung CRNP-ACUTE CARE physically located at 401 North Broadway, Baltimore MD, 21231-2410. NPI Number Ji Soo Jacquelyn Jung CRNP-ACUTE CARE has the Individual type.

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1326203183 NPI number is provided on an as is basis without warranty of any kind. 1326203183 is maintained by the National Plan & Provider Enumeration System. The contents of Ji Soo Jacquelyn Jung CRNP-ACUTE CARE are for informational purposes only.