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Individual

JENNIFER L KIM

Active
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Individual

JENNIFER L KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN7512
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN7512
ADVANCED PRACTICE LICENSE
TN
Enumeration date
07/06/2007
Last updated
05/30/2012
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