Individual provider · Type 1 NPI

Jae Sung Lee, NP

Nurse Practitioner · Stanford, CA

NPI number 1669233896 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Other practice locations

  • 1975 4th St, San Francisco, CA 94143-2351 · (415) 353-3000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X95028632 (CA)
Adult Health Nurse Practitioner 363LA2200X95028632 (CA)
Nurse Practitioner Primary 363L00000X95028632 (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 1669233896

Jae Sung Lee, NP's National Provider Identifier is 1669233896, issued on Jan 16, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stanford, CA. The record was last updated on Dec 30, 2025.