Individual provider · Type 1 NPI

Lisa Jiyoung Kim, FNP-C

Family Nurse Practitioner · Boston, MA

NPI number 1548754385 Active

Practice location

830 Harrison Ave, Moakley, 3rd Floor
Boston, MA 02118

Fax (617) 638-5756

Mailing address

801 Albany Street, Floor Ground
Boston, MA 02119

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN2278996 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1548754385

Lisa Jiyoung Kim, FNP-C's National Provider Identifier is 1548754385, issued on Jun 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Feb 17, 2022.