HEEJUNG PARK CPNP-PC
NPI 1326822669
Nurse Practitioner - Pediatrics in Glen Burnie, MD

Active since August 18, 2023
1403 MADISON PARK DR STE 100, GLEN BURNIE, MD 21061(410) 582-9630 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heejung Park Cpnp-pc NPPES

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

HEEJUNG PARK CPNP-PC (NPI 1326822669) is an individual pediatrics provider in Glen Burnie, Maryland, licensed in Maryland (R224697) and active in the NPI registry since August 2023.Information from the official NPPES registry record, last updated August 18, 2023.

NPPES Registry Identity

NPI1326822669
Entity TypeIndividualFemale
Provider Legal NameHEEJUNG PARKCredential: CPNP-PC
Location Address1403 MADISON PARK DR STE 100Glen Burnie, MD 21061-6292
Mailing Address7710 Hearthside Way Unit 408Elkridge, MD 21075-7605 · (412) 334-2947
Sole ProprietorNo
Enumeration DateAugust 18, 2023
NPPES CertifiedAugust 14, 2023
NPI 1326822669 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Nurse Practitioner · Pediatrics

Taxonomy 363LP0200X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in MD · R224697
1403 MADISON PARK DR STE 100, Glen Burnie, MD 21061

Reviews for HEEJUNG PARK CPNP-PC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pediatrics (Neonatal-Perinatal Medicine)
1403 MADISON PARK DR STE 100
GLEN BURNIE, MD 21061
Pediatrics
1403 MADISON PARK DR STE 100
GLEN BURNIE, MD 21061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326822669, enumerated as an "individual" on August 18, 2023.

The provider is located at 1403 MADISON PARK DR STE 100 GLEN BURNIE, MD 21061 and the phone number is (410) 582-9630.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.