Individual
CHRISTINE JENEE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
115 BUSINESS LOOP 70 WEST, COLUMBIA, MO 65203
(573) 882-2587
(573) 884-3037
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2005033254
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424582807
—
MO
01
—
773636
HEALTHLINK
MO
Enumeration date
12/21/2006
Last updated
03/28/2012
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