Individual provider · Type 1 NPI

Jaewon Lee, CNP

Family Nurse Practitioner · Grants, NM

NPI number 1558815522 Active

Practice location

1217 Bonita St
Grants, NM 87020-2103

Fax (505) 443-8342

Other practice locations

  • 109 US Highway 66 E, Tell City, IN 47586-2755 · (812) 547-3447
  • 109 US Highway 66 E, Tell City, IN 47586-2755 · (812) 547-3447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5905 (MN)
Family Nurse Practitioner 363LF0000XF07161203 (IN)
Family Nurse Practitioner Primary 363LF0000X66164 (NM)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1558815522

Jaewon Lee, CNP's National Provider Identifier is 1558815522, issued on Aug 8, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grants, NM. The record was last updated on Jan 15, 2025.