Provider Demographics
NPI:1992442701
Name:ZHU, JINFANG (BA)
Entity type:Individual
Prefix:MS
First Name:JINFANG
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1869 LAKE PINE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6043
Mailing Address - Country:US
Mailing Address - Phone:919-234-1208
Mailing Address - Fax:
Practice Address - Street 1:1869 LAKE PINE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6043
Practice Address - Country:US
Practice Address - Phone:919-234-1208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19824225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist