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Jinshil Kwak, NP
Psychiatric/Mental Health Nurse Practitioner in Fairfax, Virginia
NPI 1134830425

Jinshil Kwak is a Psychiatric/Mental Health Nurse Practitioner based in Fairfax, VA and is specialized in Psychiatric/Mental Health. Jinshil Kwak practices in Fairfax, VA and has the professional credentials of NP. The NPI Number for Jinshil Kwak is 1134830425 and holds a License No. 0024185947 (Virginia).

The current practice location address for Jinshil Kwak is 3554 Chain Bridge Rd Ste 200, Fairfax, VA and can be reached out via phone at 703-896-7628.

Location: 3554 Chain Bridge Rd Ste 200, Fairfax, VA, 22030-2709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134830425
Provider Name
Jinshil Kwak
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3554 Chain Bridge Rd Ste 200, Fairfax, VA, 22030-2709
Phone Number
703-896-7628
Fax Number
Provider Enumeration Date
12/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3554 Chain Bridge Rd Ste 200
City
Fairfax
State
Virginia
Zip
22030-2709
Phone Number
703-896-7628
Fax Number
person
Provider Business Mailing Address Details
Address
3554 Chain Bridge Rd Ste 200
City
Fairfax
State
Virginia
Zip
22030-2709
Phone Number
703-896-7628
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
0024185947 (Virginia)
Definition
Definition to come...
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