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JINA PARK
NPI 1508335209
Licensed Practical Nurse in Tacoma, WA

Active since November 26, 2018
9040 JACKSON AVE, ATTN: ACHJ-CLQ-C, TACOMA, WA 98433(253) 986-0982 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jina Park NPPES

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

JINA PARK (NPI 1508335209) is an individual licensed practical nurse in Tacoma, Washington, licensed in Texas (345112) and active in the NPI registry since November 2018. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1508335209
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJINA PARK
Location Address9040 JACKSON AVE, ATTN: ACHJ-CLQ-CTacoma, WA 98433
Mailing Address9138 Mil Park, 108Tacoma, WA 98433 · (213) 663-3164
Phone(253) 986-0982
Sole ProprietorNo
Enumeration DateNovember 26, 2018
✔ NPI 1508335209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TX · 345112
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9040 JACKSON AVE, Tacoma, WA 98433
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Secondary Practice Location 1

Location 1bldg 3370 evergreen ave, jblmtacoma, WA 98433 · Phone (253) 477-2766

Other Providers at the Same Location NPPES 7

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

DR. NATHAN KINNEER FRIEDLINE MD
Emergency Medicine
9040 JACKSON AVE
TACOMA, WA 98433
Pierce County (850) 885-2273
CHAMPA EANES LPN
Licensed Practical Nurse
9040 JACKSON AVE
TACOMA, WA 98433
Pierce County (253) 968-0842
DR. EILEEN LOUISE POUPORE NP
Nurse Practitioner (Psychiatric/Mental Health)
9040 JACKSON AVE
TACOMA, WA 98433
Pierce County (253) 968-4848
KEVIN JHORDAN MORENO VAZQUEZ
Licensed Practical Nurse
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
TACOMA, WA 98433
Pierce County (253) 986-0982
SONYA E VARGO RN
Registered Nurse (Critical Care Medicine)
9040 JACKSON AVE
TACOMA, WA 98433
Pierce County (253) 968-0982
CHELSEA RAE NIEMEYER RN
Registered Nurse
9040 JACKSON AVE, N/A
TACOMA, WA 98433
Pierce County (253) 968-1535
KEISHA WILLIAMS
Social Worker (Clinical)
9040 JACKSON AVE
FORT LEWIS, WA 98433
Pierce County (253) 968-3990

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 Jina Park's NPI number?

The NPI number for Jina Park is 1508335209. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Jina Park located?

Jina Park practices at 9040 Jackson Ave Attn: Achj-Clq-C, Tacoma, WA 98433. The listed phone number is (253) 986-0982.

What is Jina Park's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jina Park was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.