Individual provider · Type 1 NPI
Eleanor Chung, LPN
Licensed Practical Nurse · Stone Mountain, GA
NPI number
1417814039
Active
Practice location
970 S Hairston Rd
Stone Mountain, GA 30088-2339
Fax (404) 292-7831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN073629 (GA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2 other providers at this address
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About NPI 1417814039
Eleanor Chung, LPN's National Provider Identifier is 1417814039, issued on Jan 6, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Jan 6, 2026.