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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY HEEJOO JANG
NPI 1578322699
Physician Assistant in Centreville, VA

Active since March 19, 2024
14266B WOVEN WILLOW LN, CENTREVILLE, VA 20121(703) 625-6921 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Heejoo Jang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY HEEJOO JANG (NPI 1578322699) is an individual physician assistant in Centreville, Virginia, licensed in Virginia (0110012133) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1578322699
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY HEEJOO JANG
Location Address14266B WOVEN WILLOW LNCentreville, VA 20121-2291
Mailing Address14266b Woven Willow LnCentreville, VA 20121-2291 · (703) 625-6921
Phone(703) 625-6921
Sole ProprietorNo
Enumeration DateMarch 19, 2024
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1578322699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110012133
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14266B WOVEN WILLOW LN, Centreville, VA 20121
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Other Names 1

Professional Name (2)Mary Heejoo Jang Pa

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jang's NPI number?

The NPI number for Mary Jang is 1578322699. It was assigned to this individual provider in the NPPES registry on March 19, 2024. The provider is also known as Mary Heejoo Jang PA.

Where is Mary Jang located?

Mary Jang practices at 14266B Woven Willow Ln, Centreville, VA 20121. The listed phone number is (703) 625-6921.

What is Mary Jang's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Jang was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.