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Jung Mi Kim
Family Nurse Practitioner in Chantilly, Virginia
NPI 1114497351

Jung Mi Kim is a Family Nurse Practitioner based in Fairfax, VA and is specialized in Family. Jung Mi Kim practices in Chantilly, VA. The NPI Number for Jung Mi Kim is 1114497351 and holds a License No. 0024176496 (Virginia).

The current practice location address for Jung Mi Kim is 24795 Pinebrook Rd, Chantilly, VA and can be reached out via phone at 866-389-2727.

Location: 24795 Pinebrook Rd, Chantilly, VA, 22030-5641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114497351
Provider Name
Jung Mi Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
24795 Pinebrook Rd, Chantilly, VA, 22030-5641
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
11/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24795 Pinebrook Rd
City
Chantilly
State
Virginia
Zip
20152-4239
Phone Number
866-389-2727
Fax Number
person
Provider Business Mailing Address Details
Address
24795 Pinebrook Rd
City
Chantilly
State
Virginia
Zip
20152-4239
Phone Number
866-389-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024176496 (Virginia)
Definition
Definition to come...
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