Individual
JEANIE LEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
11160 WARNER AVE STE 411, FOUNTAIN VALLEY, CA 92708-4056
(714) 513-1399
Mailing address
11160 WARNER AVE STE 411, FOUNTAIN VALLEY, CA 92708-4056
(714) 513-1399
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
95415963
CA
163WP1700X
Perinatal Registered Nurse
RN2349468
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
95034929
CA
363LW0102X
Women's Health Nurse Practitioner
RN2349468
MA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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