# JEONG MI PAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174097331
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 816263 | NV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 11005195 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ01120900 | NJ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 8209 | CT | Yes |

## Other

- **Enumeration date:** 01/21/2019
- **Last updated:** 08/02/2026