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

Jillian Marie Kwak

Individual provider Family Nurse Practitioner · NPI 1992539845

Jillian Marie Kwak is a Family Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

315 E 86th St Apt 2DE
New York, NY 10028-4761
Phone: (570) 262-2476
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354987 (NY)

Record details

NPI number1992539845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

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