Individual
JORGE A. CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
751 OLD RICHARDSON HWY STE 101, FAIRBANKS, AK 99701-7802
(907) 328-0843
Mailing address
607 OLD STEESE HWY # B166, FAIRBANKS, AK 99701-3163
(720) 202-3451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219967
AK
Other
Enumeration date
04/08/2024
Last updated
06/19/2024
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