JEANIE LEE KIM WHNP NPI 1336022300

NPI Information

  • NPI: 1336022300
  • Provider Name: JEANIE LEE KIM, WHNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 11160 WARNER AVE STE 411
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 513-1399

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NPI Details

Jeanie Lee Kim, WHNP is a women's health nurse practitioner in Fountain Valley, CA. Jeanie Lee Kim, WHNP NPI is 1336022300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11160 WARNER AVE STE 411
FOUNTAIN VALLEY, CA
ZIP 92708-056
Phone: (714) 513-1399

The enumeration date for this NPI number is 7/28/2025 and was last updated on 7/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP1700XRegistered NursePerinatalRN2349468MASSACHUSETTSNo
2163WP1700XRegistered NursePerinatal95415963CALIFORNIANo
3363LW0102XNurse PractitionerWomen's HealthRN2349468MASSACHUSETTSNo
4363LW0102XNurse PractitionerWomen's Health95034929CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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