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

Ji Min Park

Individual provider Registered Nurse · NPI 1184083651

Ji Min Park is a Registered Nurse in Hicksville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

20 Jerusalem Ave Fl 3
Hicksville, NY 11801-4980
Phone: (516) 326-2020
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 636354 (NY)

Record details

NPI number1184083651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2016
Last updated in NPPESFebruary 12, 2016
Mailing address479 Front St Apt 2f, Hempstead, NY 11550-4229

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