MS. JISOON HWANG


Address: 2200 Kernan Dr, Baltimore, MD 21207-6665
Phone: 4104482500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R173585 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2200 KERNAN DR
City BALTIMORE
State MD
Zip Code 21207-6665

Providers in the same location

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1750992293 Samantha Rodriguez Nurse Practitioner 3989 Boston St, Baltimore, MD 21224-5759 2020-08-10
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1457996688 Lashawn S Scott Nurse Practitioner 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 2019-11-12
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1881237972 Jennifer Lillian Mothershed Nurse Practitioner 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 2019-10-22
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Competitor

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City BALTIMORE
Zip Code 21207

Improve Information

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Dataset Information

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.

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