Individual provider · Type 1 NPI

Su Kim-Hummel

Nurse Practitioner · Fort Myers, FL

NPI number 1790352607 Active

Practice location

11661 Plantation Preserve Cir S
Fort Myers, FL 33966-8372

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X9362737 (FL)
Nurse Practitioner Primary 363L00000XAPRN11013909 (FL)

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 1790352607

Su Kim-Hummel's National Provider Identifier is 1790352607, issued on Jun 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 16, 2021.