Ji Min Jung, | |
1221 S Gear Ave, West Burlington, IA 52655-1679 | |
(319) 768-1000 | |
Not Available |
Full Name | Ji Min Jung |
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Gender | Female |
Speciality | Registered Nurse |
Location | 1221 S Gear Ave, West Burlington, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194434993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 2351029 (Minnesota) | Primary |
Entity Name | Henry County Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871177477 PECOS PAC ID: 9638570740 Enrollment ID: O20210701003616 |
Mailing Address | Practice Location Address |
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Ji Min Jung, 1620 Center St W Unit 443, Rochester, MN 55902-0364 Ph: () - | Ji Min Jung, 1221 S Gear Ave, West Burlington, IA 52655-1679 Ph: (319) 768-1000 |
Vivian Anderson, Registered Nurse Medicare: Medicare Enrolled Practice Location: 1221 S Gear Ave, West Burlington, IA 52655 Phone: 319-768-1000 | |
Jennifer Shelton, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1221 S Gear Ave, West Burlington, IA 52655 Phone: 319-768-1000 | |
Ms. Charissa Sallie Elliott, FNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 1706 W Agency Rd, West Burlington, IA 52655 Phone: 319-768-5858 Fax: 319-752-4653 | |
Jennifer Lin Clark, ARNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 | |
Mrs. Whitney Amelia Hall, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1223 S Gear Ave Ste 109, West Burlington, IA 52655 Phone: 319-768-1820 |