Healthcare Provider Details

I. General information

NPI: 1629106281
Provider Name (Legal Business Name): JIE ZHANG M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N DUNLAP ST STE R264
MEMPHIS TN
38103-2800
US

IV. Provider business mailing address

50 N DUNLAP ST STE R264
MEMPHIS TN
38103-2800
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-6213
  • Fax:
Mailing address:
  • Phone: 901-287-6213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number41527
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number41527
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: