Provider Demographics
NPI:1053010991
Name:CHEN, YINGQIAO (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:YINGQIAO
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 SPRING GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-9699
Mailing Address - Country:US
Mailing Address - Phone:609-561-1700
Mailing Address - Fax:
Practice Address - Street 1:2003 LINCOLN DR W STE B
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1529
Practice Address - Country:US
Practice Address - Phone:856-886-8839
Practice Address - Fax:856-210-1874
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01449100363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health