Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jae Youn Kim, FNP-C

Individual provider Family Nurse Practitioner · NPI 1720519283

Jae Youn Kim, FNP-C is a Family Nurse Practitioner in San Jose, California. Licensed in California and Georgia. Registered with an NPI since 2017.

Licensed in
CA, GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1638 Lyle Dr
San Jose, CA 95129-4810
Phone: (734) 751-5815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95034282 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN213977 (GA)

Record details

NPI number1720519283
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 25, 2017
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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