Healthcare Provider Details

I. General information

NPI: 1952066789
Provider Name (Legal Business Name): YA JIE ZHOU AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PHOEBE ZHOU AGACNP

II. Dates (important events)

Enumeration Date: 11/06/2021
Last Update Date: 11/06/2021
Certification Date: 11/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 23RD ST NW
WASHINGTON DC
20037-2342
US

IV. Provider business mailing address

534 N IMBODEN ST APT 404
ALEXANDRIA VA
22304-5488
US

V. Phone/Fax

Practice location:
  • Phone: 202-715-4000
  • Fax:
Mailing address:
  • Phone: 703-967-5880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNP1046371
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: