Individual
JIEUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95005505
CA
363LP0200X
Pediatric Nurse Practitioner
F382424
NY
Other
Enumeration date
07/03/2013
Last updated
08/20/2026
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