Individual provider · Type 1 NPI
Jieun Kim
Pediatric Nurse Practitioner · Fresno, CA
NPI number
1386084333
Active
Practice location
2823 Fresno St
Fresno, CA 93721-1324
Fax (559) 443-2681
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Other practice locations
- 290 N Wayte Ln, Fresno, CA 93701-2124 · (559) 484-2168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95005505 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1386084333
Jieun Kim's National Provider Identifier is 1386084333, issued on Jul 3, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fresno, CA. The record was last updated on Aug 20, 2026.