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

Jungsoo Nam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194501031

Jungsoo Nam is a Student in an Organized Health Care Education/Training Program in Bloomington, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Bloomington, IN

Additional practice locations (1)

  • 1001 Shadow Ln, Las Vegas, NV 89106-4124 — (702) 786-5928

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12014730A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194501031
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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