Provider Demographics
NPI:1659014447
Name:JIN, ZHENNI (DAOM, LAC)
Entity Type:Individual
Prefix:
First Name:ZHENNI
Middle Name:
Last Name:JIN
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 W ANDERSON LN STE 512
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1359
Mailing Address - Country:US
Mailing Address - Phone:512-467-0370
Mailing Address - Fax:512-454-8846
Practice Address - Street 1:4701 W GATE BLVD BLDG A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1479
Practice Address - Country:US
Practice Address - Phone:512-693-4373
Practice Address - Fax:512-492-3076
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01961171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist