Individual
MRS. JENNIFER JENKINS CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-8972
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-8972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2008007956
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008007956
ANCC-AMERICAN NURSES CREDENTIALING CENTER
NC
Enumeration date
06/11/2009
Last updated
08/25/2014
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