Provider Demographics
NPI:1558961714
Name:HWANG, JANE F (NP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:F
Last Name:HWANG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 CALIFORNIA DR STE B
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3430
Mailing Address - Country:US
Mailing Address - Phone:650-692-7545
Mailing Address - Fax:
Practice Address - Street 1:1275 CALIFORNIA DR STE B
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3430
Practice Address - Country:US
Practice Address - Phone:650-692-7545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily