Provider Demographics
NPI:1992262117
Name:WUN, AARON JACKSON LOW (FNP-C)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:JACKSON LOW
Last Name:WUN
Suffix:
Gender:M
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 1:969 MARGUERITE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3511
Mailing Address - Country:US
Mailing Address - Phone:530-228-0364
Mailing Address - Fax:
Practice Address - Street 1:2068 TALBERT DR STE 150
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7741
Practice Address - Country:US
Practice Address - Phone:530-809-0009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-24
Last Update Date:2019-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily