Provider Demographics
NPI:1215342696
Name:HONG, JENNY JEE YOUNG (APN)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:JEE YOUNG
Last Name:HONG
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SYLVAN AVE.
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2417
Mailing Address - Country:US
Mailing Address - Phone:201-585-0957
Mailing Address - Fax:201-585-0902
Practice Address - Street 1:44 SYLVAN AVE.
Practice Address - Street 2:SUITE 2D
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2417
Practice Address - Country:US
Practice Address - Phone:201-585-0957
Practice Address - Fax:201-585-0902
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00506100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health