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

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