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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKIE KIM
NPI 1407756216
Student in an Organized Health Care Education/Training Program in Suwanee, GA

Active since November 06, 2026
3700 OLD SUWANEE RD, SUWANEE, GA 30024(404) 834-7849 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jackie Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE KIM (NPI 1407756216) is an individual student in an organized health care education/training program in Suwanee, Georgia and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1407756216
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKIE KIM
Location Address3700 OLD SUWANEE RDSuwanee, GA 30024-7014
Mailing Address3700 Old Suwanee RdSuwanee, GA 30024-7014 · (404) 834-7849
Phone(404) 834-7849
Sole ProprietorYes
Enumeration DateNovember 6, 2026
NPPES CertifiedNovember 6, 2026
✔ NPI 1407756216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3700 OLD SUWANEE RD, Suwanee, GA 30024
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Kim's NPI number?

The NPI number for Jackie Kim is 1407756216. It was assigned to this individual provider in the NPPES registry on November 6, 2026.

Where is Jackie Kim located?

Jackie Kim practices at 3700 Old Suwanee Rd, Suwanee, GA 30024. The listed phone number is (404) 834-7849.

What is Jackie Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackie Kim was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.