Eunjoo Jeong is a Nurse Practitioner in Brooklyn, New York. Eunjoo Jeong practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Eunjoo Jeong is 1588793327. The last update date is 2012-10-24.
Eunjoo Jeong's current location address is 4802 Tenth Ave, Brooklyn, New York. You can contact this provider via phone number 7182837489 and fax number 7182838546. The mailing address for Eunjoo Jeong is 4802 Tenth Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eunjoo Jeong |
|---|---|
| Address | 4802 Tenth Ave, Brooklyn, New York |
| Phone Number | 7182837489 |
| Fax Number | 7182838546 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1588793327 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2012-10-24 |
Provider Mailing Address Detail
| Address | 4802 Tenth Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112192916 |
| Phone Number | 7182837489 |
| Fax Number | 7182838546 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | F302173 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1909219 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eunjoo Jeong by the Centers for Medicare & Medicaid Services?
The Eunjoo Jeong has been issued the NPI (National Provider Identifier) 1588793327 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Eunjoo Jeong?
The Eunjoo Jeong is physically situated at 4802 Tenth Ave, in the city of Brooklyn, state of NY, with the postal code 112192916.
What is the Eunjoo Jeong's area of specialization and corresponding taxonomy classification?
The Eunjoo Jeong's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1588793327 to Eunjoo Jeong?
The Centers for Medicare & Medicaid Services assigned the 1588793327 to Eunjoo Jeong on 2007-03-05.
As of what date was the information regarding Eunjoo Jeong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eunjoo Jeong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-24.
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