Individual provider · Type 1 NPI

Min Ji Kim

Nurse Practitioner · Raleigh, NC

NPI number 1902603491 Active

Practice location

3404 Wake Forest Rd Ste 100
Raleigh, NC 27609-7341

Mailing address

285 Dry Canyon Dr
Wendell, NC 27591-3312

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5021763 (NC)

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 1902603491

Min Ji Kim's National Provider Identifier is 1902603491, issued on Mar 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 3, 2025.