Individual provider · Type 1 NPI

Ju Yeon Kim

Family Nurse Practitioner · Fayetteville, NY

NPI number 1710764550 Active

Practice location

4000 Medical Center, Suite 212
Fayetteville, NY 13066

Call (315) 744-1570 Map

Mailing address

4000 Medical Center Dr, Suite 212
Fayetteville, NY 13066

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X351939 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1710764550

Ju Yeon Kim's National Provider Identifier is 1710764550, issued on Sep 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, NY. The record was last updated on May 16, 2024.