Individual provider · Type 1 NPI

Jaehee Kim

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1356274906 Active

Practice location

9509 N Beach St Ste 102
Fort Worth, TX 76244-6399

Mailing address

6967 Fallbrook Ct W
Fort Worth, TX 76120-1315

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1227530 (TX)

Pediatric Nurse Practitioner: Definition to come...

7 other providers at this address

Other pediatric nurse practitioner providers in Fort Worth

See all in Fort Worth →

About NPI 1356274906

Jaehee Kim's National Provider Identifier is 1356274906, issued on Jun 4, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 24, 2026.