Individual provider · Type 1 NPI
Miju Lee
Nurse Practitioner · Fort Gordon, GA
Practice location
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 863440 (TX) |
| Family Nurse Practitioner | 363LF0000X | F0116958 (TX) |
| Nurse Practitioner Primary | 363L00000X | AP130711 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1083072680
Miju Lee's National Provider Identifier is 1083072680, issued on Feb 10, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Gordon, GA. The record was last updated on Aug 24, 2026.