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JAE HEON JUNG
NPI 1154216588
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since June 09, 2025
2301 N LAKE DR, MILWAUKEE, WI 53211(414) 527-8415 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Jun 9, 2025 (2 updates tracked since 2025).

About Jae Heon Jung NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE HEON JUNG (NPI 1154216588) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1154216588
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAE HEON JUNG
Location Address2301 N LAKE DRMilwaukee, WI 53211
Mailing Address2400 W Villard AvenueMilwaukee, WI 53209
Phone(414) 527-8415
Sole ProprietorNo
Enumeration DateJune 9, 2025
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1154216588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2301 N LAKE DR, Milwaukee, WI 53211
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA MARIE HERZBERG RD
Dietitian, Registered
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1316
MALCOLM CHICOZE IROEGBU
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000
MS. HAEMI LEE M.D.
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (559) 890-9742
ANN FREIGANG CTRS
Recreation Therapist
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-6750
EMILY CHUNG AGACNP-BC, APNP
Nurse Practitioner (Acute Care)
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 525-1220
MRS. ERICKA RUCK CTRS, CBIS
Recreation Therapist
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-6750
MS. JOAN CAROL BODNAR PTA
Physical Therapy Assistant
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 298-6730
IHC-OBSERVATION CARE LLC
Emergency Medicine
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Heon Jung's NPI number?

The NPI number for Jae Heon Jung is 1154216588. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Jae Heon Jung located?

Jae Heon Jung practices at 2301 N Lake Dr, Milwaukee, WI 53211. The listed phone number is (414) 527-8415.

What is Jae Heon Jung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jae Heon Jung was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.