Individual
MS. JI SOO JACQUELYN JUNG
Active
Individual
MS. JI SOO JACQUELYN JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-ACUTE CARE
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R131208
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062820400
—
MD
Enumeration date
07/22/2008
Last updated
05/08/2013
Update your record
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