Individual
JISOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CCRN
Contact information
Practice address
1954 KEYSTONE DR, AUBURN, AL 36830-1906
(334) 759-0870
Mailing address
1954 KEYSTONE DR, AUBURN, AL 36830-1906
(334) 759-0870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-181226
AL
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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