Provider Demographics
NPI:1710984927
Name:CHAPMAN, JENNIFER HANCOCK (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HANCOCK
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-718-4820
Mailing Address - Fax:704-384-7830
Practice Address - Street 1:865 W LAKE DR
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-2157
Practice Address - Country:US
Practice Address - Phone:336-719-6100
Practice Address - Fax:336-719-2313
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9900182207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC126U1OtherBCBS OF NC
NC1984725OtherUNITED HEALTHCARE
NC37410OtherPARTNERS MEDICARE CHOICE
NC080193901OtherRAILROAD MEDICARE PIN
NC226578OtherMAMSI
NC89126U1Medicaid
NC97378OtherMEDCOST
NC89126U1Medicaid
NC97378OtherMEDCOST