IndividualActive
Gina Kim, NP-C
NPI 1629415880 · Gerontology Nurse Practitioner · Lawrenceville, GA
Provider details
- NPI number
- 1629415880
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- RN204356 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
121 Langley Dr
Lawrenceville, GA 30046-6930
Phone: (770) 685-1300
Fax: (770) 685-1311
Approximate (ZIP-level) locationGet directions
Mailing address
121 Langley Dr
Lawrenceville, GA 30046-6930
Registry dates
- Enumerated
- 2013-05-29
- Last updated
- 2021-06-07
- Certified
- 2021-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.