Most Relevant Information
Provider Data
| NPI Number: | 1003673476 |
| Provider Name: | JADE CHEN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 031544 |
Most Important Dates
| Enumeration Date: | 03/04/2024 |
| Last Updated: | 03/04/2024 |
Provider Practice Location
200 CAPITOL ST
CLINTON
MS
390564026
Practice Location Phone/Fax
| Phone: | 6019253000 |
| Fax: |
Provider Mailing Location
64 E 111TH ST APT 603
NEW YORK
NY
100292685
Provider Mailing Phone/Fax
| Phone: | 6462620279 |
| Fax: |