person
Lisa Jiyoung Kim, FNP-C
Family Nurse Practitioner in Boston, Massachusetts
NPI 1548754385

Lisa Jiyoung Kim is a Family Nurse Practitioner based in Boston, MA and is specialized in Family. Lisa Jiyoung Kim practices in Boston, MA and has the professional credentials of FNP-C. The NPI Number for Lisa Jiyoung Kim is 1548754385 and holds a License No. RN2278996 (Massachusetts).

The current practice location address for Lisa Jiyoung Kim is 830 Harrison Ave, Boston, MA and can be reached out via phone at 617-638-6428 and via fax at 617-638-5756.

Location: 830 Harrison Ave, Boston, MA, 02119
person
Provider Profile Details
NPI Number
1548754385
Provider Name
Lisa Jiyoung Kim
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
830 Harrison Ave, Boston, MA, 02119
Phone Number
617-638-6428
Fax Number
617-638-5756
Provider Enumeration Date
06/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110146618A 05 MA
institution
Provider Business Practice Location Address Details
Address
830 Harrison Ave
City
State
Zip
02118
Phone Number
617-638-6428
Fax Number
617-638-5756
person
Provider Business Mailing Address Details
Address
830 Harrison Ave
City
State
Zip
02118
Phone Number
617-638-6428
Fax Number
617-638-5756
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN2278996 (Massachusetts)
Definition
Definition to come...
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