JANNET HAE JUNG SHIM AGNP-C NPI 1790547818

NPI Information

  • NPI: 1790547818
  • Provider Name: JANNET HAE JUNG SHIM, AGNP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 302 SATELLITE BLVD NE STE 109&110
    SUWANEE, GA
    ZIP 30024
  • Phone: (404) 983-4051

Map and Directions

Get Directions

NPI Details

Jannet Hae Jung Shim, AGNP-C is a primary care nurse practitioner in Suwanee, GA. Jannet Hae Jung Shim, AGNP-C NPI is 1790547818. 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:

302 SATELLITE BLVD NE STE 109&110
SUWANEE, GA
ZIP 30024-181
Phone: (404) 983-4051

The NPI 1790547818 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 1/24/2024 and was last updated on 1/24/2024.

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
1363LA2200XNurse PractitionerAdult HealthRN315429GEORGIANo
2363LG0600XNurse PractitionerGerontologyRN315429GEORGIANo
3363LP2300XNurse PractitionerPrimary CareRN315429GEORGIAYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI