Individual provider · Type 1 NPI
Jin Luo
Primary Care Nurse Practitioner · Fairfax, VA
NPI number
1740829688
Active
Practice location
3700 Joseph Siewick Dr Ste 401
Fairfax, VA 22033-1745
Fax (703) 715-0202
Mailing address
7229 Vellex Ln
Annandale, VA 22003-6029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 0024174383 (VA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1740829688
Jin Luo's National Provider Identifier is 1740829688, issued on Dec 23, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fairfax, VA. The record was last updated on Dec 23, 2019.