Individual
JINA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 COMMUNITY DR, MANHASSET, NY 11030-3802
(516) 419-6036
Mailing address
600 COMMUNITY DR, MANHASSET, NY 11030-3802
(516) 419-6036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12831
CT
363L00000X
Nurse Practitioner
Primary
340441
NY
363LF0000X
Family Nurse Practitioner
340441
NY
Other
Enumeration date
06/13/2016
Last updated
07/28/2026
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