Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2406 | NC |
NPI | 1295132520 |
---|---|
Provider Name | Dr. Jingya Jeanne Chen |
First Address | Winston Salem, NC 27103-3011 |
Second Address | Greensboro, NC 27410-2048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2014 |
Last Update Date | 14/09/2015 |