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

Jane Park

Individual provider Nurse Practitioner · NPI 1174297857

Jane Park is a Nurse Practitioner in Bronx, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

4422 3rd Ave
Bronx, NY 10457-2545
Phone: (718) 960-9000
Fax: (718) 960-9361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F347367 (NY)

Record details

NPI number1174297857
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022
Mailing address1424 Outlook Ave Apt 1, Bronx, NY 10465-1184

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