Individual provider · Type 1 NPI

Guiseon Kim, NP-C

Nurse Practitioner · Brookhaven, GA

NPI number 1245696772 Active

Practice location

4400 Peachtree Rd NE
Brookhaven, GA 30319-2729

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP08551 (LA)
Nurse Practitioner 363L00000XGAA-NP002954 (GA)
Nurse Practitioner Primary 363L00000X905033 (MS)

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 1245696772

Guiseon Kim, NP-C's National Provider Identifier is 1245696772, issued on Jan 13, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brookhaven, GA. The record was last updated on Oct 9, 2025.