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Individual
JEN JI EUN CHUNG
Active
Individual
JEN JI EUN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGACNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN260133
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN260133
GA
Other
Enumeration date
04/30/2022
Last updated
05/26/2023
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