Healthcare Provider Details

I. General information

NPI: 1275498594
Provider Name (Legal Business Name): QI ZHENG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 VOYAGER PL
DURHAM NC
27712-2477
US

IV. Provider business mailing address

704 VOYAGER PL
DURHAM NC
27712-2477
US

V. Phone/Fax

Practice location:
  • Phone: 919-951-8211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberAG10240085
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: