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

Kionglee Jung, FNP/PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1184039968

Kionglee Jung, FNP/PMHNP is a Nurse Practitioner in Chandler, Arizona. Qualified in 2014, 12 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2430 W Ray Rd Ste 3
Chandler, AZ 85224-3552
Phone: (480) 613-9599
Fax: (480) 900-8515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4540 E Baseline Rd Ste 113, Mesa, AZ 85206-4617 — (480) 558-4700

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP5635 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP5635 (AZ)

Record details

NPI number1184039968
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP/PMHNP
Sole proprietorNo
NPI enumeratedJune 30, 2014
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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