Provider Demographics
NPI:1083448781
Name:CHANEY, JIANING ZHANG (PHD, PA-C)
Entity type:Individual
Prefix:
First Name:JIANING
Middle Name:ZHANG
Last Name:CHANEY
Suffix:
Gender:F
Credentials:PHD, PA-C
Other - Prefix:
Other - First Name:JIANING
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, PA-C
Mailing Address - Street 1:6701 DEMOCRACY BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-7500
Mailing Address - Country:US
Mailing Address - Phone:443-351-4650
Mailing Address - Fax:
Practice Address - Street 1:14000 CROWN CT STE 201
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-1463
Practice Address - Country:US
Practice Address - Phone:703-499-8787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant