Individual provider · Type 1 NPI
Jannet Soowan Kim, NP
Family Nurse Practitioner · New York, NY
NPI number
1669190674
Active
Practice location
511 W 157th St
New York, NY 10032-7601
Mailing address
60 Madison Ave
New York, NY 10010-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 688976 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 350158 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669190674
Jannet Soowan Kim, NP's National Provider Identifier is 1669190674, issued on Aug 16, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Aug 17, 2022.