Most Relevant Information
Provider Data
| NPI Number: | 1003298654 |
| Provider Name: | JESSICA CHA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-126937 |
Most Important Dates
| Enumeration Date: | 06/19/2015 |
| Last Updated: | 02/01/2024 |
Provider Practice Location
1717 6TH AVE S
BIRMINGHAM
AL
352331801
Practice Location Phone/Fax
| Phone: | 8008228816 |
| Fax: |
Provider Mailing Location
1717 6TH AVE S
BIRMINGHAM
AL
352331801
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |