MS. JISOON HWANG (NPI# 1407108319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407108319 |
| Entity Type | Individual |
| Full Name | MS. JISOON HWANG |
| Credential | CRNP |
| Practice Address |
2200 Kernan Dr Baltimore MD 21207-6665 |
| Practice Telephone | 4104482500 |
| Mailing Telephone | 4104482500 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R173585 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 KERNAN DR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21207-6665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202692 | Kernan Dentistry | Clinic/Center | 2200 Kernan Dr, Dental Suite T500, Baltimore, MD 21207-6665 | 2005-08-12 |
| 1881207868 | Neima Hinda Brody | Speech-Language Pathologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2020-08-28 |
| 1255982690 | Amy Olzmann | Clinical Neuropsychologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-09-26 |
| 1669036836 | Idowu Awolusi | Nurse Practitioner | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-04-23 |
| 1124583950 | Carolyn Kaye Gibson | Internal Medicine | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-02-06 |
| 1275097784 | Kayla Marie Stolins | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-29 |
| 1669936571 | Elizabeth Wells Bihn | Speech-Language Pathologist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-24 |
| 1275007833 | Nikkie Dorsey | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-17 |
| 1104390905 | Allison Jean | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-15 |
| 1548734361 | Lauren Sirriannia | Occupational Therapist | 2200 Kernan Dr, Baltimore, MD 21207-6665 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1891328431 | Day-by-day Healthcare LLC | Home Health Aide | 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 | 2020-02-21 |
| 1366005944 | Lacey Murphy | Social Worker | 6201 Liberty Road, Baltimore, MD 21207 | 2019-04-18 |
| 1811453368 | Pamela Powell | Social Worker | 5025 Dickey Hill Rd, Baltimore, MD 21207 | 2019-02-20 |
| 1568932176 | Reflections Counseling & Consulting | Community/Behavioral Health | 6901 Brightway, Unit F, Gwynn Oak, MD 21207 | 2018-11-27 |
| 1255849394 | Therapetic Wellness Services | Community/Behavioral Health | 4909 Liberty Heights Ave, Baltimore, MD 21207 | 2018-01-10 |
| 1922525252 | Passionate Hands Transitional Housing | Clinic/Center | 4711 Liberty Heights Avenue, Baltimore, MD 21207 | 2017-08-28 |
| 1528427689 | Stephen James Allen | Occupational Therapy Assistant | 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 | 2016-02-17 |
| 1255720439 | Dawn James | Counselor | 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 | 2015-01-12 |
| 1407251168 | Allcare International, Inc | Day Training, Developmentally Disabled Services | 3402 Milford Ave, Baltimore, MD 21207 | 2014-10-23 |
| Find all providers in zip 21207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1750996930 | Ashley Tyisha Sydnor | Nurse Practitioner | 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 | 2020-09-14 |
| 1750992293 | Samantha Rodriguez | Nurse Practitioner | 3989 Boston St, Baltimore, MD 21224-5759 | 2020-08-10 |
| 1265040380 | Pathway To Wellness Healthcare Center | Nurse Practitioner | 6507 Baltimore Ave, Baltimore, MD 21222-4002 | 2020-07-14 |
| 1679107916 | Ugochi Ebiye | Nurse Practitioner | 6 Millwheel Ct, Baltimore, MD 21236-2548 | 2020-02-25 |
| 1417580168 | Tiwalola Olabisi Akinsade | Nurse Practitioner | 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 | 2020-02-20 |
| 1457996688 | Lashawn S Scott | Nurse Practitioner | 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 | 2019-11-12 |
| 1740825041 | Rosemary Lokko | Nurse Practitioner | 2431 Jefferson St, Baltimore, MD 21205-2543 | 2019-11-10 |
| 1881237972 | Jennifer Lillian Mothershed | Nurse Practitioner | 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 | 2019-10-22 |
| 1376186775 | Jessica L Mcauliffe | Nurse Practitioner | 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 | 2019-10-18 |
| Find all providers in BALTIMORE | ||||
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| 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.