MISS JAEJUNG LEE NPI 1700339967

NPI Information

NPI: 1700339967
Provider Name: MISS JAEJUNG LEE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
200 TILLARY ST
BROOKLYN, NY
ZIP 11201
Phone: (718) 855-7485
Get Directions

MISS Jaejung Lee is a psychiatric/mental health nurse practitioner in Brooklyn, NY. MISS Jaejung Lee NPI is 1700339967. 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:

200 TILLARY ST
BROOKLYN, NY
ZIP 11201-026
Phone: (718) 855-7485
Fax: (718) 855-1317

The NPI 1700339967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2016 and was last updated on 3/17/2018.

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	390200000X	Student in an Organized Health Care Education/Training Program		679880	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F402313	NEW YORK	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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