JEONG KIM NP NPI 1750768107

NPI Information

NPI: 1750768107
Provider Name: JEONG KIM, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1301 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 250-4906
Get Directions

Jeong Kim, NP is an adult health nurse practitioner in Fort Worth, TX with 10 years of experience. Jeong Kim, NP NPI is 1750768107. 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:

1301 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-122
Phone: (817) 250-4906
Fax: (817) 250-1815

The NPI 1750768107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2015 and was last updated on 4/2/2019.

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
1	363LA2200X	Nurse Practitioner	Adult Health	AP127743	TEXAS	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	AP127743	TEXAS	No
3	363LP2300X	Nurse Practitioner	Primary Care	AP127743	TEXAS	No

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: 4/28/2024

NPI Synchronization or Removal

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