Individual
JESSICA ALLEN CHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0138
(352) 273-8670
(352) 273-8639
Mailing address
PO BOX 100108, J402, GAINESVILLE, FL 32610-0138
(352) 273-8670
(352) 273-8639
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME111226
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018721100
—
FL
Enumeration date
06/10/2009
Last updated
11/04/2016
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