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MIN JEONG JEON CPNP-PC
NPI 1760843049
Nurse Practitioner - Pediatrics in Waldorf, MD

Active since March 14, 2016
3500 OLD WASHINGTON RD, SUITE 101, WALDORF, MD 20602(301) 645-1133 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Min Jeong Jeon Cpnp-pc NPPES

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

MIN JEONG JEON CPNP-PC (NPI 1760843049) is an individual pediatrics provider in Waldorf, Maryland, licensed in Maryland (R212891) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1760843049
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMIN JEONG JEONCredential: CPNP-PC
Location Address3500 OLD WASHINGTON RD, SUITE 101Waldorf, MD 20602-3224
Mailing Address3500 Old Washington Rd, Suite 101Waldorf, MD 20602-3224 · (301) 645-1133
Phone(301) 645-1133
Sole ProprietorNo
Enumeration DateMarch 14, 2016
✔ NPI 1760843049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R212891
Also ListedRegistered NurseTaxonomy 163W00000X · License R212891 (MD), RN.401394 (OH)
3500 OLD WASHINGTON RD, Waldorf, MD 20602
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAILAJA NANDIPATI
Internal Medicine (Rheumatology)
3500 OLD WASHINGTON RD, SUITE 202
WALDORF, MD 20602
Charles County (301) 843-2223
CAMBRIDGE PEDIATRICS, LLC
Pediatrics
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Charles County (301) 645-1133
DR. JAY G BROWNE DDS
Dentist (General Practice)
3500 OLD WASHINGTON RD, #204
WALDORF, MD 20602
Charles County (301) 843-0225
SARAH KIMBALL PNP
Nurse Practitioner (Pediatrics)
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Charles County (301) 645-1133
CAMBRIDGE CANCER & INFUSION CENTER LLC
Internal Medicine (Hematology & Oncology)
3500 OLD WASHINGTON RD, STE 102
WALDORF, MD 20602
Charles County (301) 645-4242
DR. KRISHAN MATHUR M.D.
Internal Medicine (Hematology & Oncology)
3500 OLD WASHINGTON RD, SUITE 102
WALDORF, MD 20602
Charles County (301) 645-4242
MINAXI N SHAH M.D.
Pediatrics
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Charles County (301) 645-1133
CAMBRIDGE WOMENS AMBULATORY SURGERY CENTER, L.L.C.
Clinic/Center (Ambulatory Surgical)
3500 OLD WASHINGTON RD, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-8867

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 Min Jeong Jeon's NPI number?

The NPI number for Min Jeong Jeon is 1760843049. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Min Jeong Jeon located?

Min Jeong Jeon practices at 3500 Old Washington Rd Suite 101, Waldorf, MD 20602. The listed phone number is (301) 645-1133.

What is Min Jeong Jeon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Min Jeong Jeon was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.