Individual
JUMI PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2001 PROVIDENCE AVE, CHESTER, PA 19013-5504
(800) 960-9500
Mailing address
2001 PROVIDENCE AVE, CHESTER, PA 19013-5504
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024954
PA
Other
Enumeration date
02/02/2022
Last updated
11/04/2023
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