Individual
MRS. HYOEN JOO JOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 TEXAS STATION CT, TIMONIUM, MD 21093-8286
(410) 828-7417
(410) 828-4695
Mailing address
1 TEXAS STATION CT, SUITE 300, TIMONIUM, MD 21093-8286
(410) 828-7417
(410) 828-4695
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R148114
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236007100
—
MD
01
—
R148114
CRNP LICENSE NUMBER
MD
Enumeration date
04/03/2012
Last updated
11/20/2025
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