Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MIN JIN JUNG DETRICK, PA-C
ActiveMRS. MIN JIN JUNG DETRICK, PA-C is a Physician Assistant healthcare provider located in TYSONS, Virginia. NPI 1285884007 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TYSONS, VA
Registration Details
- NPI Number
- 1285884007
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2008 (17.864349513641 yrs)
- Last Updated
- Mar 28, 2024
- Licenses
-
0010-01553 (NC)0110003714 (VA)
Practice Information
- Address
-
8100 BOONE BLVD STE 700TYSONS, VA, 221822683Browse VA providers · Browse ZIP 22182
- Phone
- 7035312269
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in TYSONS, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. LAUREN ELIZABETH STOVER | PA-C | 1942552153 |
| MEHDI TAVAZOEI | PHYSICIAN ASSISTANT | 1497245443 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.