Individual
MICHELE LYNN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5108 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 834-7063
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0034274
OH
Other
Enumeration date
06/30/2023
Last updated
09/07/2023
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