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

Individual provider Family Nurse Practitioner · NPI 1366990798

Jessica Wiedemann Kim, FNP is a Family Nurse Practitioner in Cerritos, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

12900 Park Plaza Dr Ste #150
Cerritos, CA 90703-9329
Phone: (800) 499-2793
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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 95004967 (CA)

Record details

NPI number1366990798
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 14, 2016
Last updated in NPPESOctober 18, 2016

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