Park, Jina

Park, Jina is an individual health care provider with primary practice located at 6363 N State Highway 161 Ste 100 , Irving TX 75038-2239. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Park, Jina can be contacted via phone (469) 200-3272.

Contact Information

Primary practice address
6363 N State Highway 161 Ste 100 Irving TX 75038-2239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 810471 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP132571 Texas

Profile Details

NPI number 1306386354
LBN Legal business name Park, Jina
Credentials AGPCNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2017
Last updated Dec 12th, 2022 - about 4 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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