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

Individual provider Family Nurse Practitioner · NPI 1871969147

Song Lee, FNP-C is a Family Nurse Practitioner in Blaine, Minnesota. Works from 3 locations. Licensed in Minnesota, Missouri and Tennessee.

Licensed in
MN, MO, TN
In the registry since
2015
Specialties on file
3
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

2357 108th Ln NE
Blaine, MN 55449-5222
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6670 Stage Rd, Bartlett, TN 38134-3810 — (866) 389-2727
  • 2115 Union Ave, Memphis, TN 38104-4233 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8018 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2015029823 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 21056 (TN)

Record details

NPI number1871969147
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021
Mailing address2357 108th Ln Ne, Blaine, MN 55449-5222

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