Individual provider · Type 1 NPI

Jacqueline Jiaqi Chan, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Claremont, CA

NPI number 1740988120 Active

Practice location

675 W Foothill Blvd Ste 200
Claremont, CA 91711-3475

Fax (415) 296-5299

Other practice locations

  • 1225 W 190th St Ste 280, Gardena, CA 90248-4305 · (626) 758-7788

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95126081 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95025416 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1740988120

Jacqueline Jiaqi Chan, PMHNP's National Provider Identifier is 1740988120, issued on Feb 16, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Claremont, CA. The record was last updated on May 16, 2025.