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
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN2278996 (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.