Basic Information
| Provider Information | |||||||||
| NPI: | 1861728446 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEONG | ||||||||
| FirstName: | JINHWA | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 S JOYCE ST | ||||||||
| Address2: | APT 535 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222021872 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343556135 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1220 12TH ST SE | ||||||||
| Address2: | STE. 120 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200033722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027157900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2009 | ||||||||
| LastUpdateDate: | 12/23/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 4704250499 | MI | N | Nursing Service Providers | Registered Nurse | 363LF0000X | RN1018023 | DC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.