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
Phone: (469) 200-3272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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