Healthcare Provider Details

I. General information

NPI: 1144510884
Provider Name (Legal Business Name): JUNGHEE CHE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. JULIE CHE

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9104 S TACOMA WAY STE 106F
LAKEWOOD WA
98499-4407
US

IV. Provider business mailing address

9104 S TACOMA WAY STE 106F
LAKEWOOD WA
98499-4407
US

V. Phone/Fax

Practice location:
  • Phone: 253-314-5742
  • Fax: 253-314-5718
Mailing address:
  • Phone: 253-314-5742
  • Fax: 253-314-5718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP60210580
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP60210580
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60210580
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP60210580
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP60210580
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP60210580
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60210580
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: