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

Jung Mi Kim

Individual provider Family Nurse Practitioner · NPI 1114497351

Jung Mi Kim is a Nurse Practitioner in Chantilly, Virginia. Qualified in 2018, 8 years ago. Practices with Medical Access PC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2018
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Practice location Address checks out

24795 Pinebrook Rd
Chantilly, VA 20152-4239
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24795 Pinebrook Rd, South Riding, VA 20152-4239 — (301) 787-2249

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024176496 (VA)

Record details

NPI number1114497351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2018
Last updated in NPPESDecember 5, 2018
Mailing address11645 Leehigh Dr, Fairfax, VA 22030-5641

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Medical Access Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chantilly