Heejung Park, CPNP-PC - Nurse Practitioner in Glen Burnie, MD

Heejung Park, CPNP-PC is a Nurse Practitioner - Pediatrics based in Glen Burnie, Maryland. Heejung Park is licensed to practice in Maryland (license number R224697) and her current practice location is 1403 Madison Park Dr Ste 100, Glen Burnie, Maryland. She can be reached at her office (for appointments etc.) via phone at (410) 582-9630.

NPI number for Heejung Park is 1326822669 and her current mailing address is 7710 Hearthside Way Unit 408, Elkridge, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326822669.

Contact Information

Heejung Park, CPNP-PC
1403 Madison Park Dr Ste 100,
Glen Burnie, MD 21061-6292
(410) 582-9630
Not Available

Map and Direction




Provider's Profile

Full NameHeejung Park
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1403 Madison Park Dr Ste 100, Glen Burnie, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326822669
  • Provider Enumeration Date: 08/18/2023
  • Last Update Date: 08/18/2023

Medical Identifiers

Medical identifiers for Heejung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326822669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics R224697 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heejung Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heejung Park, CPNP-PC
7710 Hearthside Way Unit 408,
Elkridge, MD 21075-7605

Ph: (412) 334-2947
Heejung Park, CPNP-PC
1403 Madison Park Dr Ste 100,
Glen Burnie, MD 21061-6292

Ph: (410) 582-9630

Reviews and Comments


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Medicare: Medicare Enrolled
Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061
Phone: 410-582-9434    

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