Individual provider · Type 1 NPI

Ella Hyeseung Jo

Nurse Practitioner · Leesburg, VA

NPI number 1396497178 Active

Practice location

19441 Golf Vista Plz Ste 230
Leesburg, VA 20176-8271

Mailing address

PO Box 3250
Winchester, VA 22604-2450

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024185733 (VA)
Nurse Practitioner 363L00000XAC007397 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396497178

Ella Hyeseung Jo's National Provider Identifier is 1396497178, issued on Jan 22, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Leesburg, VA. The record was last updated on Oct 10, 2025.