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Jaewon Lee, CNP
Family Nurse Practitioner in Grants, New Mexico
NPI 1558815522

Jaewon Lee is a Family Nurse Practitioner based in Grants, NM and is specialized in Family. Jaewon Lee practices in Grants, NM and has the professional credentials of CNP. The NPI Number for Jaewon Lee is 1558815522 and holds a License No. 5905 (New Mexico).

The current practice location address for Jaewon Lee is 1217 Bonita St, Grants, NM and can be reached out via phone at 052-872-9585 and via fax at 505-443-8342.

Location: 1217 Bonita St, Grants, NM, 87020-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558815522
Provider Name
Jaewon Lee
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
1217 Bonita St, Grants, NM, 87020-2103
Phone Number
052-872-9585
Fax Number
505-443-8342
Provider Enumeration Date
08/08/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1217 Bonita St
City
Grants
State
New Mexico
Zip
87020-2103
Phone Number
052-872-9585
Fax Number
505-443-8342
person
Provider Business Mailing Address Details
Address
1217 Bonita St
City
Grants
State
New Mexico
Zip
87020-2103
Phone Number
052-872-9585
Fax Number
505-443-8342
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
F07161203 (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5905 (Minnesota)
Definition
Definition to come...
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