Individual provider · NPI-1

Jingjing Chen

Psychiatry & Neurology, Neurology · Roseville, CA

NPI number1255837068
StatusActive
Last updated in NPPESOct 20, 2023

Details

NPI
1255837068
Entity type
Individual (NPI-1)
Name
Jingjing Chen
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2018
Certification date
Oct 20, 2023
Last updated
Oct 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyA163551CAYes

Practice location

2 Medical Plaza Dr Ste 205
Roseville, CA 95661-3044

Phone 167-738-7119

Mailing address

2 Medical Plaza Dr Ste 205
Roseville, CA 95661-3044

Phone 916-773-8711

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