JISUNG PARK

JACKSON, MS
NPI1609287267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R896636)
Enumeration Date2014-05-16
Last Update Date2014-08-21
Business Address
-- JISUNG PARK MSN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6426
Mailing Address
-- JISUNG PARK MSN
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6426
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