Healthcare Provider Details

I. General information

NPI: 1588245435
Provider Name (Legal Business Name): JACQUELINE ANN CHAVEZ QUINN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JACQUELINE ANN CHAVEZ MD

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNC HOSPITALS N2198, CB7010
CHAPEL HILL NC
27599-4220
US

IV. Provider business mailing address

101 MANNING DR # N2198
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-7833
  • Fax:
Mailing address:
  • Phone: 865-684-5474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberCHAV-VXF0L4
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: