Individual provider · Type 1 NPI
Eun Jung Kim
Family Nurse Practitioner · Carrollton, TX
NPI number
1255968004
Active
Practice location
4444 Saukenuk Ln
Carrollton, TX 75010-1203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP144588 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255968004
Eun Jung Kim's National Provider Identifier is 1255968004, issued on Mar 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carrollton, TX. The record was last updated on Jun 25, 2021.