Provider Demographics
NPI:1851860365
Name:RA, YOON JUNG (ACAG-NP/APRN)
Entity type:Individual
Prefix:MS
First Name:YOON
Middle Name:JUNG
Last Name:RA
Suffix:
Gender:F
Credentials:ACAG-NP/APRN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5127
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98206-5127
Mailing Address - Country:US
Mailing Address - Phone:206-860-5414
Mailing Address - Fax:206-720-8462
Practice Address - Street 1:3927 RUCKER AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4833
Practice Address - Country:US
Practice Address - Phone:425-339-5422
Practice Address - Fax:425-303-3053
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2025-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAP61005991363LA2100X, 363LG0600X, 363LA2100X
TXAP139713363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology