Provider Demographics
NPI:1346547684
Name:ZAMPIELLO, JENNA MARIE (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:MARIE
Last Name:ZAMPIELLO
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16108 ASH WAY STE 109
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-8780
Mailing Address - Country:US
Mailing Address - Phone:425-361-7945
Mailing Address - Fax:425-320-3964
Practice Address - Street 1:16108 ASH WAY STE 109
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-8780
Practice Address - Country:US
Practice Address - Phone:425-361-7945
Practice Address - Fax:425-320-3964
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60200316171100000X
WANT60200162175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist