Provider Demographics
NPI:1104533991
Name:CHE, I-CHUN (FNP-C)
Entity type:Individual
Prefix:
First Name:I-CHUN
Middle Name:
Last Name:CHE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6713 ALCOVE LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-6321
Mailing Address - Country:US
Mailing Address - Phone:520-205-0672
Mailing Address - Fax:
Practice Address - Street 1:4040 MCDERMOTT RD STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7735
Practice Address - Country:US
Practice Address - Phone:972-668-6868
Practice Address - Fax:972-668-1618
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1065841207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine