Jaesuk Lee, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN244828 Issued in GA

Practice address

1325 Satellite Blvd NW BLDG 700
Suwanee, GA 30024-4651

Phone

(678) 417-1255

Fax

(678) 417-1258

NPI assigned

Oct 23, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1356746028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW BLDG 700",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244651",
            "telephone_number": "678-417-1255",
            "fax_number": "678-417-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW BLDG 700",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244651",
            "telephone_number": "678-417-1255",
            "fax_number": "678-417-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAESUK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "634175",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN244828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas O. Lee, M.D.
• Han Lee
• Jae Hun Lee, L.AC.,O.M.D
• Jae N/a Lee
• Jae Yong Lee, DDS
• Jaeyoung Lee, MD
• Jay Lee, D.C.
• John Yongseung Lee, M.D.
• Julia S Lee, PA-C
• Jung Lee

• Family Nurse Practitioner in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.