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

Mrs. Jiyeon Kim, PA

Individual provider Nurse Practitioner · NPI 1154863520

Mrs. Jiyeon Kim, PA is a Nurse Practitioner in Duluth, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3610 Peachtree Industrial Blvd Ste 100
Duluth, GA 30096-4953
Phone: (678) 417-0332
Fax: (470) 200-2823
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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 F0317639 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence F0317639 (GA)

Record details

NPI number1154863520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 16, 2016
Last updated in NPPESNovember 16, 2016

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