Healthcare Provider Details

I. General information

NPI: 1285129155
Provider Name (Legal Business Name): FOOK YEE CHEUNG GC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JERRI CHEUNG

II. Dates (important events)

Enumeration Date: 06/24/2018
Last Update Date: 06/11/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 AMHERST ST
WINCHESTER VA
22601-2808
US

IV. Provider business mailing address

200 CAMPUS BLVD SUITE 320
WINCHESTER VA
22601
US

V. Phone/Fax

Practice location:
  • Phone: 540-446-2800
  • Fax: 540-779-0142
Mailing address:
  • Phone: 540-536-5100
  • Fax: 540-536-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGP60864474
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGT60982914
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number0139000562
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: