Healthcare Provider Details

I. General information

NPI: 1811461098
Provider Name (Legal Business Name): JESSICA EVE ZOLTEN-CHANDLER L.AC., DIPL. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 HUNTINGTON RD STE 103
RICHMOND VT
05477-9841
US

IV. Provider business mailing address

PO BOX 76
RICHMOND VT
05477-0076
US

V. Phone/Fax

Practice location:
  • Phone: 802-227-2807
  • Fax:
Mailing address:
  • Phone: 802-227-2807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number091.0134004
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: