Provider Demographics
NPI:1932661824
Name:HWANG, JESSICA HAE-MIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:HAE-MIN
Last Name:HWANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-685-4614
Mailing Address - Fax:614-685-5025
Practice Address - Street 1:6700 UNIVERSITY BLVD STE 3D
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3508
Practice Address - Country:US
Practice Address - Phone:614-685-4614
Practice Address - Fax:614-685-5025
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.148185207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine