Active NPIIndividual providerSole proprietor

Jenelle V Chu

Physician Assistant, Surgical in Frederick, Maryland

NPI Number1558096313
Practice location
7211 Bank CT, Frederick, MD 21703-8483
Fax
—
Last updated
December 4, 2023

Jenelle Virginia Chu is a Physician Assistant, Surgical based in Frederick, MD. Jenelle Virginia Chu practices in Frederick, MD. The NPI Number for Jenelle Virginia Chu is 1558096313 and holds a License No. 5857 (CT). The current practice location address for Jenelle Virginia Chu is 7211 Bank CT, Frederick, MD 21703-8483 and can be reached out via phone at 240-215-6310.

Provider Profile Details

NPI Number
1558096313
Provider Name
Jenelle Virginia Chu
Provider Entity Type
Individual
Gender
Female
Address
7211 Bank CT, Frederick, MD 21703-8483
Phone Number
240-215-6310
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2022
Last Update Date
December 4, 2023
Certification Date
December 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
7211 Bank CT
Frederick, MD 21703-8483
Zip
21703-8483
Phone Number
240-215-6310
Frederick, MD 21703Get directions →

Provider Business Mailing Address Details

Address
9600 Park Ave
Laurel, MD 20723-1851
City
Laurel
State
MD
Zip
20723-1851
Phone Number
301-979-0824

License Information

License Number (1)
5857
License State (1)
CT
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
C09140
License State (2)
MD
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jenelle V Chu?

The NPI number of Jenelle V Chu is 1558096313. It was assigned on July 17, 2022 and is currently active in the NPPES registry.

What is the specialty of Jenelle V Chu?

Jenelle V Chu is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 5857.

Where does Jenelle V Chu practice?

The practice location is 7211 Bank CT, Frederick, MD 21703-8483. The office can be reached at 240-215-6310 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558096313 directly on the NPPES registry website.

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