MS. JI SOO JACQUELYN JUNG CRNP-ACUTE CARE NPI 1326203183

NPI Information

MS. Ji Soo Jacquelyn Jung, CRNP-ACUTE CARE is an acute care nurse practitioner in Baltimore, MD with 17 years of experience. MS. Ji Soo Jacquelyn Jung, CRNP-ACUTE CARE NPI is 1326203183. 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:

401 NORTH BROADWAY
ROOM 1123
BALTIMORE, MD
ZIP 21231-410
Phone: (443) 287-7990
Fax: (443) 287-0108

The NPI 1326203183 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 7/22/2008 and was last updated on 5/8/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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