JINA PARK (AGPCNP-C) – Adult Health Nurse Practitioner, NPI 1306386354

Adult Health Nurse Practitioner

JINA PARK (AGPCNP-C) is a healthcare provider. based in Flower mound, Texas. specializing in Adult Health Nurse Practitioner. They hold the professional credentials AGPCNP-C. They hold a License No. 810471 (TX). The NPI Number for JINA PARK (AGPCNP-C) is 1306386354

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

JINA PARK (AGPCNP-C)

NPI

1306386354

Phone

(520) 609-5058

Address

3600 Veronica Dr

Enumeration Date

23 February 2017

Last Update Date

12 December 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9723293500

Graduation Year

2016 (10 years ago)

PAC ID

5890063192

Group Practice PAC ID

8123296498

Professional Enrollment ID

I20170609000052

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience51

Completeness75

Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for JINA PARK (AGPCNP-C)

3600 Veronica Dr
Flower Mound, TX 750220977
Phone: (520) 609-5058
Type: Location
1601 N Belt Line Rd Ste B
Mesquite, TX 751491791
Phone: (972) 329-3500
Type: Location
North Belt Line Road, Mesquite, Dallas County, Texas, 75043, United States
MESQUITE, TX 751491791
Phone: (972) 329-3500
Type: Location
6363 N STATE HIGHWAY 161 STE 100
IRVING, TX 750382239
Phone: (469) 200-3272
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8123296498View full group profile

Name	Specialty	State
MICAH DESHAUN MARTIN (AGNP-C)	Nurse Practitioner	TX
Unknown Individual	-	TX

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Frequently asked questions

Can I verify JINA PARK (AGPCNP-C) with an NPI only?

You can start verification with NPI 1306386354 for JINA PARK (AGPCNP-C), then check state licensing separately.

Does the file indicate JINA PARK (AGPCNP-C) is practicing under active NPI?

Directory data currently reports JINA PARK (AGPCNP-C) as active.

What taxonomy line describes JINA PARK (AGPCNP-C)?

For research purposes, treat JINA PARK (AGPCNP-C) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for JINA PARK (AGPCNP-C)?

JINA PARK (AGPCNP-C)'s geographic hint is Flower Mound, Texas in our summary view.

How many locations tie to this NPI?

5 practice locations appear in the available data.