Individual
MS. HYUNAH MELANIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, FNP
Contact information
Practice address
466 LINCOLN STREET, UNIT A, UNIT A, PALISADES PARK, NJ 07650-0765
(865) 621-4424
Mailing address
466 LINCOLN STREET, UNIT A, UNIT A, PALISADES PARK, NJ 07650
(865) 621-4424
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
26NR16621500
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01281900
NJ
Other
Enumeration date
02/18/2021
Last updated
05/05/2022
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