JIN YOUNG PARK FNP-BC NPI 1215374848

NPI Information

NPI: 1215374848
Provider Name: JIN YOUNG PARK, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
195 W 12TH AVE
EUGENE, OR
ZIP 97401
Phone: (541) 762-4325
Get Directions

Jin Young Park, FNP-BC is a family nurse practitioner in Eugene, OR. Jin Young Park, FNP-BC NPI is 1215374848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

195 W 12TH AVE
EUGENE, OR
ZIP 97401-408
Phone: (541) 762-4325
Fax: (541) 762-0740

The enumeration date for this NPI number is 5/22/2013 and was last updated on 3/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		818327	CALIFORNIA	No
2	163W00000X	Registered Nurse		201402848RN	OREGON	No
3	363LF0000X	Nurse Practitioner	Family	95000717	CALIFORNIA	No
4	363LF0000X	Nurse Practitioner	Family	201403802NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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