Organization
JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC
Active
Organization
JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC
Active
Other names
JenCare Neighborhood Medical Shockoe Bottom
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 831-4722
Entity
Organization
Contact information
Practice address
1712 E BROAD ST, RICHMOND, VA 23223-6930
(804) 644-0059
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
06/02/2011
Last updated
10/31/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up