IndividualActive
Jisung Park, MSN
NPI 1609287267 · Nurse Practitioner · Jackson, MS
Jisung Park, MSN is a Nurse Practitioner provider in Jackson, MS (NPI 1609287267).
Provider details
- NPI number
- 1609287267
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN
- Sex
- Female
- Sole proprietor
- No
- License
- R896636 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
Street-level locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2014-05-16
- Last updated
- 2014-08-21
Frequently asked questions
- What is Jisung Park's NPI number?
- Jisung Park's National Provider Identifier (NPI) is 1609287267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jisung Park's specialty?
- Jisung Park is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jisung Park located?
- Jisung Park's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is Jisung Park's phone number?
- The practice phone number listed in the NPPES registry for Jisung Park is (601) 984-6426.
- Is Jisung Park's NPI active?
- Yes — Jisung Park's NPI (1609287267) is active in the NPPES registry as of the last update on 2014-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.