Individual provider · Type 1 NPI

Jake Kim, NP

Family Nurse Practitioner · New York, NY

NPI number 1245774355 Active

Practice location

1468 Madison Avenue, Box 1495
New York, NY 10029-6574

Mailing address

1 Gustave L. Levy Place
New York, NY 10029-6574

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF340534 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1245774355

Jake Kim, NP's National Provider Identifier is 1245774355, issued on Dec 8, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Mar 23, 2017.