DR. YONG NAM JEON DNP CRNP AGNP-C NPI 1033607932

NPI Information

  • NPI: 1033607932
  • Provider Name: DR. YONG NAM JEON, DNP, CRNP, AGNP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 50 W EDMONSTON DR STE 202
    ROCKVILLE, MD
    ZIP 20852
  • Phone: (301) 762-0788

Map and Directions

Get Directions

NPI Details

DR. Yong Nam Jeon, DNP, CRNP, AGNP-C is a primary care nurse practitioner in Rockville, MD. DR. Yong Nam Jeon, DNP, CRNP, AGNP-C NPI is 1033607932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 W EDMONSTON DR STE 202
ROCKVILLE, MD
ZIP 20852-249
Phone: (301) 762-0788

The enumeration date for this NPI number is 4/25/2018 and was last updated on 11/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyR207262MARYLANDNo
2363LP2300XNurse PractitionerPrimary CareR207262MARYLANDYes
3363LA2200XNurse PractitionerAdult HealthR207262MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.