DR. TAYLOR JIEUN JUNG (NPI# 1336568823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336568823 |
| Entity Type | Individual |
| Full Name | DR. TAYLOR JIEUN JUNG |
| Other Name | TAYLOR JIEUN NORTHERN |
| Practice Address |
Lsu Health Sciences Center 1501 Kings Highway Department of Oral & Maxillofacial Surgery Room 530 Shreveport LA 71103 |
| Practice Telephone | 4054018055 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
LSU HEALTH SCIENCES CENTER 1501 KINGS HIGHWAY, DEPARTMENT OF ORAL & MAXILLOFACIAL SURGERY ROOM 530 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| 1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344851 | Kavina Kamlesh Jani | Student in an Organized Health Care Education/Training Program | 2854 Long Lake Dr, Shreveport, LA 71106-8422 | 2020-07-29 |
| 1003444316 | Aya Mouhaffel | Student in an Organized Health Care Education/Training Program | 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 | 2020-03-31 |
| 1538797410 | John Logan Sobiesk | Student in an Organized Health Care Education/Training Program | 534 Unadilla St, Shreveport, LA 71106-1240 | 2020-03-27 |
| 1679101638 | Brelynn Dianne Witty | Student in an Organized Health Care Education/Training Program | 629 Mccormick St, Shreveport, LA 71104-4905 | 2020-03-27 |
| 1801423751 | Darius Joseph Robinson | Student in an Organized Health Care Education/Training Program | 649 Rutherford St, Shreveport, LA 71104-4333 | 2020-03-23 |
| 1306308176 | Kabir Kashif Husain | Student in an Organized Health Care Education/Training Program | 1501 King Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2019-04-02 |
| 1871052209 | Harrison William Torres | Student in an Organized Health Care Education/Training Program | Ochsner Lsuhsc, Urology - 1501 Kings Highway, Shreveport, LA 71130-3932 | 2019-03-15 |
| 1689144461 | John W Ratliff | Student in an Organized Health Care Education/Training Program | Ochsner, 1501, Shreveport, LA 71130 | 2018-12-05 |
| 1942707096 | Nicholas Lyons Gilbert | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy # Surgery, Shreveport, LA 71103-4228 | 2018-04-06 |
| 1801390372 | Matthew Taylor Burger | Student in an Organized Health Care Education/Training Program | 3455 Johnette St, Shreveport, LA 71105-2027 | 2018-03-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on DR. TAYLOR JIEUN JUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.