Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daseuli Jeong

Individual provider Obesity Medicine (Family Medicine) Physician · NPI 1366320970

Daseuli Jeong is a Nurse Practitioner in Fairfax, Virginia. Qualified in 2025, 1 year ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025

Practice location Address checks out

3903 Fair Ridge Dr Ste 209
Fairfax, VA 22033-2944
Phone: (703) 865-6490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X · Licence 0024194635 (VA)

Record details

NPI number1366320970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033-2944

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Fairfax