Jessica Chan
Nurse Practitioner, Acute Care in New York, NY. Individual provider (NPI-1).
NPI number1669957775
StatusActive
Last updated in NPPESSep 25, 2018
Details
- NPI
- 1669957775
- Entity type
- Individual (NPI-1)
- Name
- Jessica Chan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2018
- Last updated
- Sep 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | F431339 | NY | Yes |
Practice location
1468 Madison AveNew York, NY 10029-6508
Phone 212-241-6500
Mailing address
1468 Madison AveNew York, NY 10029-6508
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