Individual
JIYOUNG CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
Mailing address
PO BOX 5777, MARYVILLE, TN 37802-5777
(865) 246-2104
(865) 246-2106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28193970A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71005808A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000964485
ANTHEM PROVIDER PIN NUMBER
IN
05
—
201323610
—
IN
Enumeration date
06/30/2015
Last updated
09/06/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us