Provider Demographics
NPI:1184518649
Name:JUNG, SOHEE
Entity type:Individual
Prefix:
First Name:SOHEE
Middle Name:
Last Name:JUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N CARRIAGE HILL DR UNIT 1181
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-4744
Mailing Address - Country:US
Mailing Address - Phone:702-540-7933
Mailing Address - Fax:
Practice Address - Street 1:600 N CARRIAGE HILL DR UNIT 1181
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89138-4744
Practice Address - Country:US
Practice Address - Phone:702-540-7933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY614630163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse