Individual
MS. JAYME CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
16918 DOVE CANYON RD STE 103, SAN DIEGO, CA 92127-3455
(858) 649-5100
Mailing address
PO BOX 25100, FRESNO, CA 93729-5100
(559) 326-1222
(559) 326-1230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522653
—
TN
Enumeration date
11/23/2010
Last updated
06/25/2021
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