Kim, Jeanie Lee
Kim, Jeanie Lee is an individual health care provider with primary practice located at 11160 Warner Ave Ste 411 , Fountain Valley CA 92708-4056. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Perinatal, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Kim, Jeanie Lee can be contacted via phone (714) 513-1399.Contact Information
Primary practice address
11160 Warner Ave Ste 411
Fountain Valley CA 92708-4056
Phone: (714) 513-1399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Perinatal | 163WP1700X | RN2349468 | Massachusetts |
| Nursing Service Providers / Perinatal | 163WP1700X | 95415963 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN2349468 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 95034929 | California |
Profile Details
| NPI number | 1336022300 |
|---|---|
| LBN Legal business name | Kim, Jeanie Lee |
| Credentials | Women's Health Nurse Practitioner (WHNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2025 |
| Last updated | Jul 28th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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