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

Jeong Yeon Kang Park

Individual provider Family Nurse Practitioner · NPI 1447793450

Jeong Yeon Kang Park is a Nurse Practitioner in Tampa, Florida. Qualified in 2016, 10 years ago. Practices with Healnexxt Woundcare LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
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Practice location Address checks out

2203 N Lois Ave Ste 814
Tampa, FL 33607-2388
Phone: (813) 608-5633
Fax: (800) 608-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9369012 (FL)

Record details

NPI number1447793450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2016
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Healnexxt Woundcare Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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