Provider Demographics
NPI:1295599439
Name:KIM, GRACE MEEHYUN (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:MEEHYUN
Last Name:KIM
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WESTCARE DR STE 302
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5278
Mailing Address - Country:US
Mailing Address - Phone:828-586-9200
Mailing Address - Fax:
Practice Address - Street 1:26 WESTCARE DR STE 302
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5278
Practice Address - Country:US
Practice Address - Phone:828-586-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019592363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily