JACKY CHEN PA-C NPI 1104491265

NPI Information

NPI: 1104491265
Provider Name: JACKY CHEN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2020 TECHNOLOGY PKWY STE 201
MECHANICSBURG, PA
ZIP 17050
Phone: (717) 731-0101
Get Directions

Jacky Chen, PA-C is a medical physician assistant in Mechanicsburg, PA with 3 years of experience. Jacky Chen, PA-C NPI is 1104491265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2020 TECHNOLOGY PKWY STE 201
MECHANICSBURG, PA
ZIP 17050-411
Phone: (717) 731-0101
Fax: (717) 731-8359

The NPI 1104491265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2021 and was last updated on 7/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		12387748-1206	UTAH	No
2	363AS0400X	Physician Assistant	Surgical	12387748-1206	UTAH	No
3	363AM0700X	Physician Assistant	Medical	MA064625	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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