| Eunjin Elena Jeong, NP | |
|
600 S Wycombe Ave, Yeadon, PA 19050-2835 | |
| (610) 626-8065 | |
| Not Available |
| Full Name | Eunjin Elena Jeong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 600 S Wycombe Ave, Yeadon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487463428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F312019-01 (New York) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | SP031665 (Pennsylvania) | Primary |
| Entity Name | Vitality Np Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003453051 PECOS PAC ID: 1052747128 Enrollment ID: O20200210000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Eunjin Elena Jeong, NP 235 Garfield Ave Apt D, Collingswood, NJ 08108-3819 Ph: (201) 675-8414 | Eunjin Elena Jeong, NP 600 S Wycombe Ave, Yeadon, PA 19050-2835 Ph: (610) 626-8065 |
Rugiatu Kailie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 607 Rose St, Yeadon, PA 19050 Phone: 267-679-1958 | |
Shatyra Henderson-hamwright, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 E Baltimore Ave, Yeadon, PA 19050 Phone: 713-335-1754 | |
Ms. Sandra Gauthier, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Whitby Ave, Yeadon, PA 19050 Phone: 267-333-3175 | |
Alfred Abu, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 832 Arbor Rd, Yeadon, PA 19050 Phone: 610-304-2550 Fax: 610-259-2932 | |
Donald Abraham Ballah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 817 Guenther Ave, Yeadon, PA 19050 Phone: 267-584-6652 | |
Guanjun Cheng, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Lincoln Ave, Yeadon, PA 19050 Phone: 610-262-7700 Fax: 610-626-7690 |