Jeong, Myoungsook

Jeong, Myoungsook is an individual health care provider with primary practice located at 1300 S Gregg St , Big Spring TX 79720-4325. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jeong, Myoungsook can be contacted via phone (432) 517-4557.

Contact Information

Primary practice address
1300 S Gregg St Big Spring TX 79720-4325
Phone: (432) 517-4557
Fax: (432) 517-4561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 788220 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 788220 Texas

Profile Details

NPI number 1770834947
LBN Legal business name Jeong, Myoungsook
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2012
Last updated Nov 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770834947 NPPES
Texas MEDICAID 281971602

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