Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Haejin Jack, APRN-CNP

Individual provider Acute Care Nurse Practitioner · NPI 1033949508

Haejin Jack, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2024, 2 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024
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Practice location Address checks out

460 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-7499
Fax: (614) 366-2360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0037626 (OH)

Record details

NPI number1033949508
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Columbus