Healthcare Provider Details

I. General information

NPI: 1689360612
Provider Name (Legal Business Name): JENNA VERENA ZSCHAEBITZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 KEMPSVILLE RD STE 200
NORFOLK VA
23502-3800
US

IV. Provider business mailing address

885 KEMPSVILLE RD STE 200
NORFOLK VA
23502-3800
US

V. Phone/Fax

Practice location:
  • Phone: 757-461-6342
  • Fax: 757-461-8507
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102210130
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number0102210130
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: