Individual
MISS JANE EUNYOUNG CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
8556 BUSTLETON AVE, PHILADELPHIA, PA 19152-1218
(215) 698-9200
Mailing address
4417 PINE ST APT 306, PHILADELPHIA, PA 19104-3953
(732) 570-1105
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP018446
PA
363LP2300X
Primary Care Nurse Practitioner
SP018446
PA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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