HEEJUNG PARK CPNP-PC NPI 1326822669

NPI Information

  • NPI: 1326822669
  • Provider Name: HEEJUNG PARK, CPNP-PC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1403 MADISON PARK DR STE 100
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 582-9630

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NPI Details

Heejung Park, CPNP-PC is a pediatrics nurse practitioner in Glen Burnie, MD. Heejung Park, CPNP-PC NPI is 1326822669. 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:

1403 MADISON PARK DR STE 100
GLEN BURNIE, MD
ZIP 21061-292
Phone: (410) 582-9630

The enumeration date for this NPI number is 8/18/2023 and was last updated on 8/18/2023.

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
1363LP0200XNurse PractitionerPediatricsR224697MARYLANDYes

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: 11/21/2025

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