Individual provider · Type 1 NPI

Jessica Chan

Family Nurse Practitioner · Tampa, FL

NPI number 1639919285 Active

Practice location

3301 W Gandy Blvd
Tampa, FL 33611-2931

Mailing address

4310 W Spruce St Unit 452
Tampa, FL 33607-4274

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11032536 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1639919285

Jessica Chan's National Provider Identifier is 1639919285, issued on May 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tampa, FL. The record was last updated on Dec 31, 2024.