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

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