Individual
JANE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PEMBERTON BROWNS MILLS RD, PEMBERTON, NJ 08068-1537
(609) 894-1100
(609) 894-1110
Mailing address
PO BOX 1309, MARLTON, NJ 08053-6309
(609) 567-0200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60583312
WA
363LF0000X
Family Nurse Practitioner
Primary
26NJ01354500
NJ
363LF0000X
Family Nurse Practitioner
346001
NY
Other
Enumeration date
03/09/2020
Last updated
03/04/2026
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