JENNY PARK
NPI 1497192728
Nurse Practitioner in New York, NY

Active since May 28, 2013
525 E 70TH ST STE 307, NEW YORK, NY 10065(646) 962-7950 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 17, 2018, Jan 16, 2018 (2 updates tracked since 2018).

About Jenny Park NPPES

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

JENNY PARK (NPI 1497192728) is an individual nurse practitioner in New York, New York, licensed in North Carolina (5009817) and active in the NPI registry since May 2013. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1497192728
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNY PARK
Location Address525 E 70TH ST STE 307New York, NY 10065
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Sole ProprietorYes
Enumeration DateMay 28, 2013
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1497192728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5009817
Definition
(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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN002222 (NV)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License F3064361 (NY)
525 E 70TH ST STE 307, New York, NY 10065

Secondary Practice Location 1

Location 1525 e 70th st ste 307new york, NY 10065 · Phone (646) 962-7950

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 Jenny Park's NPI number?

The NPI number for Jenny Park is 1497192728. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Jenny Park located?

Jenny Park practices at 525 E 70th St Ste 307, New York, NY 10065. The listed phone number is (646) 962-7950.

What is Jenny Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jenny Park was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.