| Doctor Name: | DR. JENNIFER CHUNG |
| NPI Number: | 1841498722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 209100000X |
| Business Practice Address: | 9250 Blue Ash Rd Blue Ash, OH - 452426822 |
| Business Phone Number: | 5137927445 |
| Business Fax Number: | 5137914042 |
| Mailing Address: | 237 William Howard Taft Rd, 2nd Fl, Cbo2-3, Attn: Credentialing CINCINNATI |
| State: | OH |
| Postal Code: | 452192610 |
| Phone Number: | 5132639238 |
| Fax Number: | 5133664480 |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 09/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 209100000X |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |