MS. JIYEONG LEE


Address: 2800 S Shirlington Rd Ste 500, Arlington, VA 22206
Phone: 7037174245

MS. JIYEONG LEE (NPI# 1669718037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669718037
Entity Type Individual
Full Name MS. JIYEONG LEE
Credential FNP
Practice Address 2800 S Shirlington Rd Ste 500
Arlington
VA 22206
Mailing Address 2800 S Shirlington Rd Ste 500
Arlington
VA 22206-3618
Practice Telephone 7037174245
Mailing Telephone 7037174245
Enumeration Date 2012-12-12
Last Update Date 2019-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024170448 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
10301 New Guinea Rd, Fairfax, VA 220323268 7037645112

Office Location

Street Address 2800 S SHIRLINGTON RD STE 500
City ARLINGTON
State VA
Zip Code 22206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699788190 Christopher Michael Walsh Internal Medicine 2800 S Shirlington Rd Ste 500, Arlington, VA 22206-3618 2006-08-14

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NPI Name Taxonomy Address Enumeration
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1104337179 Chandra Jeanne Burnside Registered Nurse 4654a 36th Street South, Arlington, VA 22206 2017-10-18
1861912784 Bonnie Schultz Social Worker 4537a 28th Rd S., Arlington, VA 22206 2017-06-21
1477093201 Roxana Estrada Dentist 23678-b Luisa Martinez, Mariano Matamoros, Tijuana, BAJA CALIFORNIA 22206 2017-02-27
1073063095 Alfredo Soto Navarrete General Acute Care Hospital Hermenegildo Galeana 22412, Ejido Francisco Villa, Tijuana, BAJA CALIFORNIA 22206 2016-10-13
1245681238 Wendolyne Nashelly Corona Leal Dentist Ave Isla Tiburon 3662, Lamas Del Matamoros, Tijuana, BAJA CALIFORNIA 22206 2016-06-30
1659784304 Christine Brown Wright Audiologist 4714 30th Street South, Arlington, VA 22206 2014-06-10
1538583653 Fernellas Quality Care Nutritionist 2300 24th Road South #624, Arlington, VA 22206 2014-02-10
1851637532 Umera Abdullah Thebo Internal Medicine 2270 S Garfield Street, Unit #4, Arlington, VA 22206 2012-12-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City ARLINGTON
Zip Code 22206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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