Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JU YEON KIM
Active Sole ProprietorJU YEON KIM is a Family Nurse Practitioner healthcare provider located in FAYETTEVILLE, New York. NPI 1710764550 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FAYETTEVILLE, NY
Registration Details
- NPI Number
- 1710764550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2023 (2.7327151123147 yrs)
- Last Updated
- May 16, 2024
- License
-
351939 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4000 MEDICAL CENTERSUITE 212FAYETTEVILLE, NY, 13066Browse NY providers · Browse ZIP 13066
- Phone
- 3157441570
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in FAYETTEVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| AUDREY A MATHIS | NP | 1740283829 |
| CYNTHIA J TREMBLAY | NP | 1750387130 |
| SUSAN M RANDALL-MANTELLA | RNNP | 1457314650 |
| ELLEN E POWERS | NP | 1992756209 |
| MARY OOT | FNP | 1023048048 |
| THERESA M. SETTER | APRN-BC | 1114135209 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.