Healthcare Provider Details

I. General information

NPI: 1073158101
Provider Name (Legal Business Name): DAVID JIHUN CHOI MSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 WILSON AVE
WASHINGTON PA
15301-3339
US

IV. Provider business mailing address

10755 AMBASSADOR DR STE 201
MANASSAS VA
20109-2527
US

V. Phone/Fax

Practice location:
  • Phone: 800-805-6989
  • Fax: 864-558-8511
Mailing address:
  • Phone: 571-778-3537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number079422-23
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP024903
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: