Individual
JI EUN AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 N BEAUREGARD ST STE 360, ALEXANDRIA, VA 22311-1751
(703) 615-5465
Mailing address
8925 PURPLE LILAC CIR, LORTON, VA 22079-5643
(703) 283-8830
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024177987
NJ
363LA2100X
Acute Care Nurse Practitioner
0024177987
VA
Other
Enumeration date
08/01/2019
Last updated
08/27/2024
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