Provider Demographics
NPI:1336881200
Name:ZIELINSKI, JENNIFER KAREN (APRN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KAREN
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 HIGH MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:TANNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18372-7714
Mailing Address - Country:US
Mailing Address - Phone:719-425-7805
Mailing Address - Fax:
Practice Address - Street 1:498 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-4432
Practice Address - Country:US
Practice Address - Phone:610-258-2985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031380363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care