# JESSICA S KIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225656432
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WE0003X | Emergency Registered Nurse | 041399309 | IL | — |
| 163WE0003X | Emergency Registered Nurse | 95236442 | CA | — |
| 363LA2100X | Acute Care Nurse Practitioner | 277003499 | IL | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 95016336 | CA | — |

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 12/05/2024