Individual provider · Type 1 NPI
Jerry Chan, FNP-BC
Nurse Practitioner · Elgin, IL
Practice location
1425 N Randall Rd
Elgin, IL 60123-2300
Mailing address
2100 Powell St, Suite 900
Emeryville, CA 94608-1826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209008110 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1982928404
Jerry Chan, FNP-BC's National Provider Identifier is 1982928404, issued on Mar 26, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elgin, IL. The record was last updated on Apr 8, 2010.