KIONGLEE JUNG FNP/PMHNP NPI 1184039968

NPI Information

NPI: 1184039968
Provider Name: KIONGLEE JUNG, FNP/PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2460 W RAY RD STE 1
CHANDLER, AZ
ZIP 85224
Phone: (480) 613-9599
Get Directions

Kionglee Jung, FNP/PMHNP is a psychiatric/mental health nurse practitioner in Chandler, AZ. Kionglee Jung, FNP/PMHNP NPI is 1184039968. 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:

2460 W RAY RD STE 1
CHANDLER, AZ
ZIP 85224-556
Phone: (480) 613-9599
Fax: (480) 900-8515

The NPI 1184039968 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 6/30/2014 and was last updated on 7/19/2021.

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	363LF0000X	Nurse Practitioner	Family	AP5635	ARIZONA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP5635	ARIZONA	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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