Active NPIIndividual provider

Jee Yoon Kim, ANP

Nurse Practitioner, Adult Health in Orange, Connecticut

NPI Number1558697565
Practice location
240 Indian River RD., Building A Suite 1A, Orange, CT 06477
Fax
—
Last updated
January 19, 2024

Jee Yoon Kim is a Nurse Practitioner, Adult Health based in Orange, CT. Jee Yoon Kim practices in Orange, CT and has the professional credentials of ANP. The NPI Number for Jee Yoon Kim is 1558697565 and holds a License No. 18743 (TN). The current practice location address for Jee Yoon Kim is 240 Indian River RD., Building A Suite 1A, Orange, CT 06477 and can be reached out via phone at 203-795-1664.

Provider Profile Details

NPI Number
1558697565
Provider Name
Jee Yoon Kim
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
240 Indian River RD., Building A Suite 1A, Orange, CT 06477
Phone Number
203-795-1664
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2009
Last Update Date
January 19, 2024
Certification Date
January 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 Indian River RD.
Building A Suite 1A
Orange, CT 06477
City
Orange
Zip
06477
Phone Number
203-795-1664
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
240 Indian River RD.
Building A Suite 1A
Orange, CT 06477
City
Orange
State
CT
Zip
06477

License Information

License Number (1)
18743
License State (1)
TN
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
10549
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jee Yoon Kim, ANP?

The NPI number of Jee Yoon Kim, ANP is 1558697565. It was assigned on October 26, 2009 and is currently active in the NPPES registry.

What is the specialty of Jee Yoon Kim, ANP?

Jee Yoon Kim, ANP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in TN under license number 18743.

Where does Jee Yoon Kim, ANP practice?

The practice location is 240 Indian River RD., Building A Suite 1A, Orange, CT 06477. The office can be reached at 203-795-1664 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558697565 directly on the NPPES registry website.

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