SHIN PARK – NPI #1952267700
Registered Nurse

SHIN PARK is a registered nurse (RN) located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1952267700 to SHIN PARK on December 24, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 163WP2201X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in Ambulatory Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHIN PARK below.

NPI Profile for
SHIN PARK

NPI Number
1952267700
Enumeration Date

(about 5 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHIN PARK
Primary location
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone: (904) 953-2451 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Dec 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WP2201X
- Registered Nurse / Ambulatory Care (Primary)
FL RN9166956

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.