Individual
HYEGYEONG JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95255299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564940
PHN LICENSE #
CA
01
—
95255299
RN LICENSE #
CA
Enumeration date
01/30/2023
Last updated
01/30/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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