Healthcare Provider Details

I. General information

NPI: 1285547562
Provider Name (Legal Business Name): JIAN CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 EL CAMINO REAL STE D
PALO ALTO CA
94306-1000
US

IV. Provider business mailing address

1515 EL CAMINO REAL STE D
PALO ALTO CA
94306-1000
US

V. Phone/Fax

Practice location:
  • Phone: 650-600-9838
  • Fax:
Mailing address:
  • Phone: 650-600-9838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95039657
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: