Provider Demographics
NPI:1124421011
Name:ZENO, VIRGINIA SHELBY (APRN)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:SHELBY
Last Name:ZENO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:VIRIGINIA
Other - Middle Name:SHELBY
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:4301 W MARKHAM ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-680-1536
Mailing Address - Fax:
Practice Address - Street 1:3915 W 8TH ST
Practice Address - Street 2:PULASKI COUNTY HEALTH UNIT, 2ND FLOOR
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204
Practice Address - Country:US
Practice Address - Phone:501-526-7425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004223363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health