Individual provider · Type 1 NPI

Jae Eun Lee

Adult Health Nurse Practitioner · Bronx, NY

NPI number 1073834784 Active

Practice location

444 Willis Ave
Bronx, NY 10455-4013

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X620172 (NY)
Adult Health Nurse Practitioner Primary 363LA2200XF309262-01 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1073834784

Jae Eun Lee's National Provider Identifier is 1073834784, issued on Jun 16, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Mar 2, 2021.