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JUNGWOOK JIN NPI 1831612761


NPI Information

NPI: 1831612761
Provider Name: JUNGWOOK JIN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3400 YOUNGFIELD ST
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 459-5645
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Jungwook Jin is a family nurse practitioner in Wheat Ridge, CO. Jungwook Jin NPI is 1831612761. 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:

3400 YOUNGFIELD ST
WHEAT RIDGE, CO
ZIP 80033-245
Phone: (303) 459-5645

The NPI 1831612761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2017 and was last updated on 2/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse709537NEW YORKNo
2163W00000XRegistered Nurse709537MARYLANDNo
3363LF0000XNurse PractitionerFamily342677NEW YORKNo
4363LF0000XNurse PractitionerFamily0996400COLORADOYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.