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

Jiyoun Leah Park, PA

Individual provider Medical Physician Assistant · NPI 1497146351

Jiyoun Leah Park, PA is a Medical Physician Assistant in Tucker, Georgia. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1468 Montreal Rd
Tucker, GA 30084-6901
Phone: (770) 638-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1497146351
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 13, 2015
Last updated in NPPESJuly 15, 2015

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