Individual
MRS. JENNIFER JIAN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSNA, CRNA
Contact information
Practice address
1825 SAMUEL MORSE DR., RESTON, VA 20190
(703) 893-6168
(703) 536-1400
Mailing address
1825 SAMUEL MORSE DRIVE, RESTON, VA 20190
(703) 893-6168
(703) 790-3451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001130149
VA
367500000X
Certified Registered Nurse Anesthetist
0024130149
VA
Other
Enumeration date
05/24/2007
Last updated
06/10/2014
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