Provider Demographics
NPI:1245277847
Name:ZHANG, JING JEAN (MD)
Entity type:Individual
Prefix:
First Name:JING
Middle Name:JEAN
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 NEW WAVERLY PL
Mailing Address - Street 2:STE 203
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7404
Mailing Address - Country:US
Mailing Address - Phone:919-859-5650
Mailing Address - Fax:919-859-5695
Practice Address - Street 1:600 NEW WAVERLY PL
Practice Address - Street 2:STE 203
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7404
Practice Address - Country:US
Practice Address - Phone:919-859-5650
Practice Address - Fax:919-859-5695
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2002-01423207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89133NEMedicaid
NC133NEOtherBCBS
NC89133NEMedicaid
NC2012029BMedicare ID - Type Unspecified