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

Su Kim-Hummel

Individual provider Registered Nurse · NPI 1790352607

Su Kim-Hummel is a Registered Nurse in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11661 Plantation Preserve Cir S
Fort Myers, FL 33966-8372
Phone: (239) 288-1760
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11013909 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9362737 (FL)

Record details

NPI number1790352607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESAugust 16, 2021
Certification dateJuly 24, 2021
Mailing address11661 Plantation Preserve Cir S, Fort Myers, FL 33966-8372

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