Jaewon Lee

CNP | Nurse Practitioner | 9+ years Exp

1217 Bonita St, Grants
  New Mexico, 87020-2103
052-872-9585
Accepts Medicare Nurse Anesthetist in Grants, New Mexico.
Jaewon Lee is a Grants, New Mexico based nurse practitioner with 9 years of experience in . He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jaewon Lee is 66164 for Family in New Mexico. His current practice location is 1217 Bonita St, Grants. Patients can reach him at 052-872-9585 or can fax him at 505-443-8342. Jaewon Lee is CNP and his NPI number (Unique professional ID assigned by NPPES) is 1558815522.
Jaewon Lee has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jaewon Lee speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jaewon Lee
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: CNP
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2016
Accepts Medicare Assignment:Yes
Practice Address:1217 Bonita St, Grants,
New Mexico, 87020-2103
Phone:052-872-9585
Fax:505-443-8342
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5193004877
Enrollment ID: I20210907002473
NPI Number: 1558815522
NPI Enumeration Date: 08 Aug, 2016
NPI Last Update On: 15 Jan, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaewon Lee are as mentioned below.
License NumberSpecializationStateStatus
66164Family New MexicoPrimary
5905Nurse Practitioner MinnesotaSecondary
F07161203Family IndianaSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(320062)Crownpoint, NMAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Jaewon Lee is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Dhhs Phs Naihs Crownpoint Hospital (0143128041)36
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jaewon Lee
1217 Bonita St,
Grants, New Mexico
Zip: 87020-2103
Phone Number: 052-872-9585
Fax Number: 505-443-8342
Patients can reach Jaewon Lee at 1217 Bonita St, Grants, New Mexico or can call to book an appointment on 052-872-9585.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.