Dr. Taylor Jieun Jung
Taylor Jieun Northern · Student in an Organized Health Care Education/Training Program

Address: Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103
Phone: 4054018055

Dr. Taylor Jieun Jung (NPI# 1336568823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1336568823
Entity Type Individual
Full Name Dr. Taylor Jieun Jung
Other Name Taylor Jieun Northern
Gender Female
Practice Address Lsu Health Sciences Center 1501 Kings Highway
Department of Oral & Maxillofacial Surgery Room 530
Shreveport
LA 71103
Practice Telephone 4054018055
Mailing Address Lsu Health Sciences Center 1501 Kings Highway
Department of Oral & Maxillofacial Surgery Room 530
Shreveport
LA 71103
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2014-04-10
Last Update Date 2018-07-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295344851 Kavina Kamlesh Jani Student in an Organized Health Care Education/Training Program 2854 Long Lake Dr, Shreveport, LA 71106-8422 2020-07-29
1003444316 Aya Mouhaffel Student in an Organized Health Care Education/Training Program 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 2020-03-31
1538797410 John Logan Sobiesk Student in an Organized Health Care Education/Training Program 534 Unadilla St, Shreveport, LA 71106-1240 2020-03-27
1679101638 Brelynn Dianne Witty Student in an Organized Health Care Education/Training Program 629 Mccormick St, Shreveport, LA 71104-4905 2020-03-27
1801423751 Darius Joseph Robinson Student in an Organized Health Care Education/Training Program 649 Rutherford St, Shreveport, LA 71104-4333 2020-03-23
1306308176 Kabir Kashif Husain Student in an Organized Health Care Education/Training Program 1501 King Highway, Internal Medicine, Shreveport, LA 71130-3932 2019-04-02
1871052209 Harrison William Torres Student in an Organized Health Care Education/Training Program Ochsner Lsuhsc, Urology - 1501 Kings Highway, Shreveport, LA 71130-3932 2019-03-15
1689144461 John W Ratliff Student in an Organized Health Care Education/Training Program Ochsner, 1501, Shreveport, LA 71130 2018-12-05
1942707096 Nicholas Lyons Gilbert Student in an Organized Health Care Education/Training Program 1501 Kings Hwy # Surgery, Shreveport, LA 71103-4228 2018-04-06
1801390372 Matthew Taylor Burger Student in an Organized Health Care Education/Training Program 3455 Johnette St, Shreveport, LA 71105-2027 2018-03-20
Find all providers in SHREVEPORT

Office Location

Street Address LSU HEALTH SCIENCES CENTER 1501 KINGS HIGHWAY,
DEPARTMENT OF ORAL & MAXILLOFACIAL SURGERY ROOM 530
City SHREVEPORT
State LA
Zip Code 71103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
1558571893 Sarah Elizabeth Wheat Pediatrics 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 2007-05-23
Find all providers in zip 71103

Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.