Individual
MISS JUNGYUNG KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1619883
CO
208M00000X
Hospitalist Physician
RN185605
GA
363LA2200X
Adult Health Nurse Practitioner
0990839
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
185605
GA
363LA2200X
Adult Health Nurse Practitioner
SP010618
PA
363LG0600X
Gerontology Nurse Practitioner
185605
GA
Other
Enumeration date
12/22/2009
Last updated
07/18/2018
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