Individual
JENNIFER CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD2007-0451
NM
208600000X
Surgery Physician
MD2007-0451
NM
Other
Enumeration date
02/06/2007
Last updated
02/16/2026
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