Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609287267 Individual Practitioner Female Practitioner

Jisung Park , MSN

Nurse Practitioner • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Jisung Park, MSN is a registered healthcare professional specializing in Nurse Practitioner in Jackson, MS. Practice services are available at 2500 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6019846426
Fax 6019846439
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R896636

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03778200 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
NPI 1013921618

Doctor of Medicine (M.D.)

Dr. Kimberly Covington Tarver , MD

Internal Medicine - Geriatric Medicine

NPI 1013942895

Doctor of Medicine (M.D.)

NPI 1043210321

Doctor of Medicine (M.D.)

Padma Garg

Pediatrics - Pediatric Critical Care Medicine

NPI 1043500739
Angela Fagan

Nurse Practitioner - Acute Care

NPI 1073944971
Dr. Michael Mcmullan , MD

Internal Medicine - Interventional Cardiology

NPI 1104857036

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2014

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846426)

📍
Updated Business Mailing Address August 21, 2014

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846426)

👤
Provider Name / Credentials Updated August 21, 2014

Recorded as JISUNG PARK, MSN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2014

Nurse Practitioner (License #R896636 in MS)

🟢
Initial NPI Registration & Enumeration May 16, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609287267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2014
Last Update: August 21, 2014
Sole Proprietor: No

Mailing Address

2500 N State St

Jackson, MS 392164500

Phone: 6019846426

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.