MRS. JACKIE NANCY CHUNG
NPI 1821640756
Student in an Organized Health Care Education/Training Program in Fort Gordon, GA

Active since July 11, 2019
300 EAST HOSPITAL RD, FORT GORDON, GA 30905(706) 787-4657(706) 787-1745 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jackie Nancy Chung NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACKIE NANCY CHUNG (NPI 1821640756) is an individual student in an organized health care education/training program in Fort Gordon, Georgia and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1821640756
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. JACKIE NANCY CHUNG
Location Address300 EAST HOSPITAL RDFort Gordon, GA 30905-5650
Mailing Address300 East Hospital RdFort Gordon, GA 30905-5650 · (706) 787-4657 · Fax (706) 787-1745
Fax(706) 787-1745
Sole ProprietorYes
Enumeration DateJuly 11, 2019
NPI 1821640756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
300 EAST HOSPITAL RD, Fort Gordon, GA 30905

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
300 EAST HOSPITAL RD, DDEAMC: ATTN CREDENTIALS
FORT GORDON, GA 30905
Physical Therapist
300 EAST HOSPITAL RD
FORT GORDON, GA 30905
Physical Therapist
300 EAST HOSPITAL RD
FT EISENHOWER, GA 30905
Psychiatry & Neurology (Psychiatry)
300 EAST HOSPITAL RD, CREDENTIALS COORDINATOR
FORT GORDON, GA 30905
Physical Therapist
300 EAST HOSPITAL RD
FORT GORDON, GA 30905
Physical Therapy Assistant
300 EAST HOSPITAL RD
FT. GORDON, GA 30905
Family Medicine
300 EAST HOSPITAL RD
FORT EISENHOWER, GA 30905
Psychologist (Clinical)
300 EAST HOSPITAL RD
FT GORDON, GA 30905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Chung's NPI number?

The NPI number for Jackie Chung is 1821640756. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Jackie Chung located?

Jackie Chung practices at 300 East Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (706) 787-4657.

What is Jackie Chung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackie Chung was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.