Healthcare Provider Details

I. General information

NPI: 1558938266
Provider Name (Legal Business Name): JEAN SUE HE MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 WALKER LN STE 401
ALEXANDRIA VA
22310-3250
US

IV. Provider business mailing address

6355 WALKER LN STE 401
ALEXANDRIA VA
22310-3250
US

V. Phone/Fax

Practice location:
  • Phone: 703-924-2100
  • Fax: 703-922-6067
Mailing address:
  • Phone: 703-924-2100
  • Fax: 703-922-6067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0116035373
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: