Individual
JENNIFER A CHAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4709 CREEKSTONE DRIVE, DURHAM, NC 27703
(919) 660-2218
(919) 660-2260
Mailing address
4709 CREEKSTONE DRIVE, DURHAM, NC 27703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00813
NC
363AM0700X
Medical Physician Assistant
007624
NY
363AS0400X
Surgical Physician Assistant
Primary
0010-00813
NC
Other
Enumeration date
03/31/2007
Last updated
08/12/2014
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