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NPI Code Detail

MEDICARE: JENNIFER KIM NP-C

MEDICARE: JENNIFER KIM NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN240927GA

General Provider Information

NPI Number : 1598314254
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KIM NP-C
Provider Business Mailing Address
First Line : 285 BOULEVARD NE STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30312-4212
Country : US
Telephone Number : 404-653-0039
Fax Number : 404-653-0159
Provider Business Practice Location Address
First Line : 285 BOULEVARD NE STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30312-4212
Country : US
Telephone Number : 404-653-0039
Fax Number : 404-653-0159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2019
Last Update Date : 02/10/2026

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Directions to “ JENNIFER KIM NP-C” Practice Location

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