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

Jisung Park, MSN

Individual provider Nurse Practitioner · NPI 1609287267

Jisung Park, MSN is a Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in
MS
In the registry since
2014
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R896636 (MS)

Record details

NPI number1609287267
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN
Sole proprietorNo
NPI enumeratedMay 16, 2014
Last updated in NPPESAugust 21, 2014
Mailing address2500 N State St, Jackson, MS 39216-4500

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