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

Jenny Park

Individual provider Adult Health Nurse Practitioner · NPI 1497192728

Jenny Park is an Adult Health Nurse Practitioner in Charlotte, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina, Nevada and New York.

Licensed in
NC, NV, NY
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

1718 E 4th St Ste 807
Charlotte, NC 28204-3280
Phone: (704) 316-3297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 525 E 70th St Ste 307, New York, NY 10065 — (646) 962-7950
  • 525 E 70th St Ste 307, New York, NY 10065 — (646) 962-7950

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5009817 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN002222 (NV)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence F3064361 (NY)

Record details

NPI number1497192728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2013
Last updated in NPPESMarch 17, 2018

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