Healthcare Provider Details

I. General information

NPI: 1386401727
Provider Name (Legal Business Name): YUNJING ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024
Certification Date: 03/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GEORGETOWN UNIVERSITY
WASHINGTON DC
20057-0001
US

IV. Provider business mailing address

GEORGETOWN UNIVERSITY
WASHINGTON DC
20057-0001
US

V. Phone/Fax

Practice location:
  • Phone: 650-388-8201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN500009493
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: