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

Jae Heon Jung

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154216588

Jae Heon Jung is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2301 N Lake Dr
Milwaukee, WI 53211
Phone: (414) 527-8415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154216588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address2400 W Villard Avenue, Milwaukee, WI 53209

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