Individual provider · Type 1 NPI

Soo Jung Lee, DNP, FNP-BC

Nurse Practitioner · Raleigh, NC

NPI number 1104640820 Active

Practice location

3400 Wake Forest Rd
Raleigh, NC 27609-7317

Mailing address

6401 Lakes Rock Dr Unit 319
Raleigh, NC 27609-3251

Specialties and licenses

TaxonomyCodeLicense
Family Health Clinical Nurse Specialist 364SF0001XF354891 (NY)
Family Health Clinical Nurse Specialist 364SF0001X5021156 (NC)
Nurse Practitioner Primary 363L00000X5021156 (NC)

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 1104640820

Soo Jung Lee, DNP, FNP-BC's National Provider Identifier is 1104640820, issued on Nov 9, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 11, 2025.