Individual provider · Type 1 NPI
Yejin Kim, AGNP
Adult Health Nurse Practitioner · Raleigh, NC
NPI number
1861188948
Active
Practice location
4420 Lake Boone Trl
Raleigh, NC 27607-7505
Mailing address
4204 Six Forks Rd Apt 914
Raleigh, NC 27609-6423
Other practice locations
- 8851 Ellstree Ln, Raleigh, NC 27617-2045 · (919) 981-9898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 312559 (NC) |
| Nurse Practitioner | 363L00000X | AG06230234 (NC) |
| Gerontology Nurse Practitioner | 363LG0600X | 5018482 (NC) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 5018482 (NC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1861188948
Yejin Kim, AGNP's National Provider Identifier is 1861188948, issued on Apr 12, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Raleigh, NC. The record was last updated on Dec 18, 2023.