NPI Profile for JIYOUNG CHAE in WEST LAFAYETTE, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1568845295 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/30/2015 | |
| Last updated | 09/06/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JIYOUNG CHAE
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