Provider Demographics
NPI:1982204160
Name:LE-PREJEAN, JENNY BICH HANH
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:BICH HANH
Last Name:LE-PREJEAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JENNY BICH-HANH
Other - Middle Name:
Other - Last Name:LE-PREJEAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2730 UNIVERSITY BLVD W STE 310
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1990
Mailing Address - Country:US
Mailing Address - Phone:301-942-7600
Mailing Address - Fax:
Practice Address - Street 1:14995 SHADY GROVE RD STE 250
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-8727
Practice Address - Country:US
Practice Address - Phone:301-942-7600
Practice Address - Fax:301-217-9241
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant