MEDICARE: JENNY ZHANG ND, L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	25MZ00126000	NJ
2	175F00000X	Naturopath	NT61360417	WA
3	171100000X	Acupuncturist	AC60939878	WA
4	171100000X	Acupuncturist	005940	NY

General Provider Information

NPI Number	:	1427599810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY ZHANG ND, L.AC.

Provider Business Mailing Address
First Line	:	16003 ADMIRALTY WAY APT D601
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98087-6581
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 SMOKEY POINT DR STE 102
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-8476
Country	:	US
Telephone Number	:	360-436-6303
Fax Number	:	360-633-3637

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2017
Last Update Date	:	04/16/2024

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