Provider Demographics
NPI:1720971062
Name:ZHENG, JIAJING (ANCC)
Entity type:Individual
Prefix:
First Name:JIAJING
Middle Name:
Last Name:ZHENG
Suffix:
Gender:F
Credentials:ANCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7227 MONTEREAL PATH
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-5605
Mailing Address - Country:US
Mailing Address - Phone:561-713-5205
Mailing Address - Fax:
Practice Address - Street 1:9750 NW 33RD ST STE 206
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4019
Practice Address - Country:US
Practice Address - Phone:954-603-5508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2024091610363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily