Provider Demographics
NPI:1215741970
Name:ZHENG, JENNY (RD)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6531 SHADY GROVE PL
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-9010
Mailing Address - Country:US
Mailing Address - Phone:904-514-9207
Mailing Address - Fax:
Practice Address - Street 1:6531 SHADY GROVE PL
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-9010
Practice Address - Country:US
Practice Address - Phone:904-514-9207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86152353133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered