Individual provider · Type 1 NPI
Jessica Kim, NP
Adult Health Nurse Practitioner · Woodbury, NY
NPI number
1245941046
Active
Practice location
95 Froehlich Farm Blvd
Woodbury, NY 11797-2930
Fax (516) 838-6182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 311107 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1245941046
Jessica Kim, NP's National Provider Identifier is 1245941046, issued on Dec 12, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Woodbury, NY. The record was last updated on Aug 5, 2026.