Jisung Park is a Jackson, Mississippi based nurse practitioner. Active license number of Jisung Park is R896636 in Mississippi. Her current practice location is 2500 N State St, Jackson. Patients can reach her at 601-984-6426 or can fax her at 601-984-6439. Jisung Park is MSN and her NPI number (Unique professional ID assigned by NPPES) is 1609287267. Jisung Park has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jisung Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1609287267
NPI Enumeration Date:
16 May, 2014
NPI Last Update On:
21 Aug, 2014
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jisung Park are as mentioned below.
License Number
Specialization
State
Status
R896636
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jisung Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
03778200
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jisung Park 2500 N State St, Jackson, Mississippi
Zip:
39216-4500
Phone Number:
601-984-6426
Fax Number:
601-984-6439
Patients can reach Jisung Park at 2500 N State St, Jackson, Mississippi or can call to book an appointment on 601-984-6426.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.