Individual provider · Type 1 NPI

Jackie Nancy Chung

Student in an Organized Health Care Education/Training Program · Fort Gordon, GA

NPI number 1821640756 Active

Practice location

300 East Hospital Rd
Fort Gordon, GA 30905-5650

Call (706) 787-4657 Map

Fax (706) 787-1745

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821640756

Jackie Nancy Chung's National Provider Identifier is 1821640756, issued on Jul 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jul 11, 2019.