Provider Demographics
NPI:1285026450
Name:WIGGINS, ZENJE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ZENJE
Middle Name:
Last Name:WIGGINS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:996 HAROLD CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-1707
Mailing Address - Country:US
Mailing Address - Phone:347-234-2803
Mailing Address - Fax:
Practice Address - Street 1:5645 MAIN ST STE A200
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5045
Practice Address - Country:US
Practice Address - Phone:718-670-2388
Practice Address - Fax:718-359-9859
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338917-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily