person
Ms. Julie Park, FNP
Family Nurse Practitioner in Reston, Virginia
NPI 1235320516

Julie Park is a Family Nurse Practitioner based in Fairfax, VA and is specialized in Family. Julie Park practices in Reston, VA and has the professional credentials of FNP. The NPI Number for Julie Park is 1235320516 and holds a License No. 0024172648 (Virginia).

The current practice location address for Julie Park is 1860 Town Center Dr Ste 460, Reston, VA and can be reached out via phone at 571-222-2200 and via fax at 712-222-2025.

Location: 1860 Town Center Dr Ste 460, Reston, VA, 22031-4618
person
Provider Profile Details
NPI Number
1235320516
Provider Name
Julie Park
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1860 Town Center Dr Ste 460, Reston, VA, 22031-4618
Phone Number
571-222-2200
Fax Number
712-222-2025
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
456035ZAN3 01 DC MEDICARE PTAN
1235320516 05 VA
institution
Provider Business Practice Location Address Details
Address
1860 Town Center Dr Ste 460
City
State
Zip
20190-5901
Phone Number
571-222-2200
Fax Number
712-222-2025
person
Provider Business Mailing Address Details
Address
1860 Town Center Dr Ste 460
City
State
Zip
20190-5901
Phone Number
571-222-2200
Fax Number
712-222-2025
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024172648 (Virginia)
Definition
Definition to come...
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