Healthcare Provider Details

I. General information

NPI: 1447909122
Provider Name (Legal Business Name): JACQUELINE JIAWEI CHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EASTOWNE DR
CHAPEL HILL NC
27514-2286
US

IV. Provider business mailing address

100 EASTOWNE DR
CHAPEL HILL NC
27514-2286
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-5050
  • Fax: 984-974-3414
Mailing address:
  • Phone: 984-974-5050
  • Fax: 984-974-3414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2026-01535
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLP06032
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: