Individual provider · Type 1 NPI

Ji Yeon Lee, CPNP-PC

Pediatric Nurse Practitioner · Washington, DC

NPI number 1790668291 Active

Practice location

1801 Mississippi Ave SE Ste 1
Washington, DC 20020-6121

Call (202) 436-3060 Map

Mailing address

1151 4th St SW Apt 206
Washington, DC 20024-2347

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNP500025010 (DC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1790668291

Ji Yeon Lee, CPNP-PC's National Provider Identifier is 1790668291, issued on Jul 30, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Washington, DC. The record was last updated on Nov 17, 2025.