Pak, Jeong Mi

Pak, Jeong Mi is an sole proprietor health care provider with primary practice located at 1053 Farmington Ave # 110 , Farmington CT 06032-1574. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Pak, Jeong Mi can be contacted via phone (860) 470-4671.

Contact Information

Primary practice address
1053 Farmington Ave # 110 Farmington CT 06032-1574
Phone: (860) 470-4671
Fax: (860) 808-0040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8209 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 816263 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01120900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11005195 Florida

Profile Details

NPI number 1174097331
LBN Legal business name Pak, Jeong Mi
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2019
Last updated Aug 2nd, 2026 - about 3 months 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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