MEDICARE: MR. JASON ZINN PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1346956257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JASON ZINN PA

Provider Business Mailing Address
First Line	:	13321 EPPES FALLS RD
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23838-1262
Country	:	US
Telephone Number	:	804-295-7307
Fax Number	:

Provider Business Practice Location Address
First Line	:	9040 JACKSON AVE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-1262
Country	:	US
Telephone Number	:	804-295-7307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2023
Last Update Date	:	01/27/2025

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