Individual provider · Type 1 NPI

Jane Eunyoung Chung, CPNP-PC

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1609383173 Active

Practice location

8556 Bustleton Ave
Philadelphia, PA 19152-1218

Mailing address

4417 Pine St Apt 306
Philadelphia, PA 19104-3953

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XSP018446 (PA)
Pediatric Nurse Practitioner Primary 363LP0200XSP018446 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1609383173

Jane Eunyoung Chung, CPNP-PC's National Provider Identifier is 1609383173, issued on Jan 5, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 5, 2018.