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

Jee Yoon Kim, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1558697565

Jee Yoon Kim, ANP is a Nurse Practitioner in Orange, Connecticut. Qualified in 2005, 21 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut and Tennessee.

Years since qualifying
21
Licensed in
CT, TN
In the registry since
2009
Specialties on file
2

Practice location Address checks out

240 Indian River Rd Bldg A Ste 1A
Orange, CT 06477
Phone: (203) 795-1664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 10549 (CT)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 18743 (TN)

Record details

NPI number1558697565
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedOctober 26, 2009
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address240 Indian River Rd., Building A Suite 1a, Orange, CT 06477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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