# GINA LEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083037964
- **Gender:** F
- **Credential:** PMHNP-BC &ANP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F306733-1 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F402513-1 | NY | Yes |

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 05/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04030104 | — | NY |