Individual provider · Type 1 NPI

Jung Mi Kim

Family Nurse Practitioner · Chantilly, VA

NPI number 1114497351 Active

Practice location

24795 Pinebrook Rd
Chantilly, VA 20152-4239

Mailing address

11645 Leehigh Dr
Fairfax, VA 22030-5641

Other practice locations

  • 24795 Pinebrook Rd, South Riding, VA 20152-4239 · (301) 787-2249

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024176496 (VA)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1114497351

Jung Mi Kim's National Provider Identifier is 1114497351, issued on Nov 30, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chantilly, VA. The record was last updated on Dec 5, 2018.