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

Mijung Han, NP

Individual provider Acute Care Nurse Practitioner · NPI 1720446644

Mijung Han, NP is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2015, 11 years ago. Practices with Northside Cv Professional Services LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone: (770) 962-0399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN204653 (GA)

Record details

NPI number1720446644
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 6, 2016
Last updated in NPPESFebruary 6, 2016
Mailing address1678 Flowery Branch Rd, Auburn, GA 30011-2124

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northside Cv Professional Services Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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