Provider Demographics
NPI:1386253458
Name:JONES, ZHANNA (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:ZHANNA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2042 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6045
Mailing Address - Country:US
Mailing Address - Phone:908-350-4444
Mailing Address - Fax:908-360-0490
Practice Address - Street 1:2042 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6045
Practice Address - Country:US
Practice Address - Phone:908-350-4444
Practice Address - Fax:908-360-0490
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-24
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant