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

Miss. Jaejung Lee

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700339967

Miss. Jaejung Lee is a Psychiatric/Mental Health Nurse Practitioner in Brooklyn, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

200 Tillary St
Brooklyn, NY 11201-3026
Phone: (718) 855-7485
Fax: (718) 855-1317
Show map & directions

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

Additional practice locations (1)

  • 200 W 89th St, New York, NY 10024-1847 — (714) 331-7205

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F402313 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 679880 (NY)

Record details

NPI number1700339967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2016
Last updated in NPPESMarch 17, 2018

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