Jessica Chhan, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Newport, MI
NPI 1225753825 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1225753825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704310161 (MI)
- Practice address
- 7825 N Dixie Hwy # 101
Newport, MI 48166-9750 - Phone
- (734) 240-4580
- Fax
- (734) 240-4589
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704310161 | MI | Yes |
Addresses
Primary practice location
7825 N Dixie Hwy # 101
Newport, MI 48166-9750
Mailing address
100 Madison Ave
Toledo, OH 43604-1516
Other practice location 1
3175 Smith Rd
Lambertville, MI 48144-9434
Phone (734) 856-5494
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jchhan257095@epicdirect.promedica.org |
Other providers in Newport, MI
- Beck Prescription Services Inc.
- Stephen R Bell
- Lauren Berns
- Bingham Pharmacy LLC
- Katelyn Buettner
- Shardae Clark
- Jennifer Ann Cox
- Danilo Dona MD PC
- Danilo Agustin Dona
- Gina Maria Donnelly
All providers in Newport, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.