Jeong Mi Pak, APRN
Nurse Practitioner, Psych/Mental Health in Farmington, CT. Individual provider (NPI-1).
NPI number1174097331
StatusActive
Last updated in NPPESAug 2, 2026
Details
- NPI
- 1174097331
- Entity type
- Individual (NPI-1)
- Name
- Jeong Mi Pak
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2019
- Certification date
- Aug 2, 2026
- Last updated
- Aug 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 8209 | CT | Yes |
| 363LF0000X | Nurse Practitioner, Family | 816263 | NV | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ01120900 | NJ | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 11005195 | FL |
Practice location
1053 Farmington Ave # 110Farmington, CT 06032-1574
Phone 860-470-4671 · Fax 860-808-0040
Mailing address
574 Willis StBristol, CT 06010-7267
Phone 702-721-3541 · Fax 860-808-0040
Other practice locations
11-13 Sunflower Ave
Paramus, NJ 07652-3700
Paramus, NJ 07652-3700
Phone 855-505-2880
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