Individual
JINSOOK KWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2121 N 44TH ST, PHOENIX, AZ 85008-3224
(520) 637-3237
Mailing address
2121 N 44TH ST, PHOENIX, AZ 85008-3224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005934
AZ
363LF0000X
Family Nurse Practitioner
Primary
95005934
CA
Other
Enumeration date
03/09/2017
Last updated
06/14/2026
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