Individual provider · Type 1 NPI
Mary June C. So
Psychiatric/Mental Health Nurse Practitioner · Falls Church, VA
NPI number
1609258946
Active
Practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
1307 Vincent Pl
Mc Lean, VA 22101-3680
Other practice locations
- 9707 Key West Ave Ste 100, Rockville, MD 20850-3992 · (240) 750-6467
- 1307 Vincent Pl, Mc Lean, VA 22101-3680 · (703) 821-1073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0001220246 (VA) |
| Registered Nurse | 163W00000X | 1017196 (DC) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC002763 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024172718 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609258946
Mary June C. So's National Provider Identifier is 1609258946, issued on Jun 23, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Falls Church, VA. The record was last updated on Aug 31, 2023.