Healthcare Provider Details

I. General information

NPI: 1386199255
Provider Name (Legal Business Name): JACKELINE ZUNIGA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 S SHIRLINGTON RD STE 300
ARLINGTON VA
22206-3623
US

IV. Provider business mailing address

5401 22ND ST N
ARLINGTON VA
22205-3138
US

V. Phone/Fax

Practice location:
  • Phone: 703-844-7770
  • Fax:
Mailing address:
  • Phone: 954-644-2662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9327423
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9327423
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: