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NPI Code Detail

MEDICARE: YOOSUN JEONG

MEDICARE: YOOSUN JEONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1095789TX

General Provider Information

NPI Number : 1932812211
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOOSUN JEONG
Provider Business Mailing Address
First Line : 2100 EL DORADO PKWY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4356
Country : US
Telephone Number : 214-585-0472
Fax Number : 214-592-0083
Provider Business Practice Location Address
First Line : 2100 EL DORADO PKWY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4356
Country : US
Telephone Number : 214-585-0472
Fax Number : 214-592-0083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2023
Last Update Date : 04/24/2026

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Directions to “ YOOSUN JEONG ” Practice Location

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