| Jinhee Park Kim, | |
|
7300 Fettler Park Drive, Dumfries, VA 22025-2050 | |
| (703) 447-7500 | |
| (703) 441-7692 |
| Full Name | Jinhee Park Kim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 7300 Fettler Park Drive, Dumfries, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225565021 | NPI | - | NPPES |
| 103469933 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP017382 (Pennsylvania) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 0024185744 (Virginia) | Primary |
| Entity Name | Allegheny Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
| Entity Name | Minuteclinic Video Virtual Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200429001777 |
| Mailing Address | Practice Location Address |
|---|---|
| Jinhee Park Kim, 7300 Fettler Park Drive, Dumfries, VA 22025-2050 Ph: (703) 441-7500 | Jinhee Park Kim, 7300 Fettler Park Drive, Dumfries, VA 22025-2050 Ph: (703) 447-7500 |
Angela Ann Fasanella, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17739 Main St Ste 110, Dumfries, VA 22026 Phone: 703-574-3415 Fax: 757-452-5768 | |
Miriam C. Bryant, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17149 Gibson Mill Rd, Dumfries, VA 22026 Phone: 251-769-8379 | |
Yoko Akamine Elsasser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 Fax: 540-644-8805 | |
Mrs. Judy Lorraine Reynolds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 Fax: 540-374-1164 | |
Monica Nyamekye, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3932 Copper Mill Dr, Dumfries, VA 22025 Phone: 703-307-4653 | |
Zahida Noor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3990 Fettler Park Dr, Dumfries, VA 22025 Phone: 571-499-5813 |