Provider Demographics
NPI:1134780190
Name:HUANG, JENNIFER JING (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JING
Last Name:HUANG
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:JING
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 FAIRVIEW AVE N
Mailing Address - Street 2:D5-100
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-1024
Mailing Address - Country:US
Mailing Address - Phone:206-667-5710
Mailing Address - Fax:
Practice Address - Street 1:1100 FAIRVIEW AVE N
Practice Address - Street 2:D5-100
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-1024
Practice Address - Country:US
Practice Address - Phone:206-667-5710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML61279669207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology