Individual provider · Type 1 NPI

Jeongsim Kim Izadi, RN

Nurse Practitioner · Union City, CA

NPI number 1639776933 Active

Practice location

2814 Montair Pl
Union City, CA 94587-1680

Specialties and licenses

TaxonomyCodeLicense
Hospice Registered Nurse 163WH1000XD2102705 (CA)
Nurse Practitioner Primary 363L00000X95016945 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639776933

Jeongsim Kim Izadi, RN's National Provider Identifier is 1639776933, issued on Oct 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Union City, CA. The record was last updated on Aug 20, 2021.