Provider Demographics
NPI:1386199255
Name:ZUNIGA, JACKELINE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JACKELINE
Middle Name:
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 22ND ST N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3138
Mailing Address - Country:US
Mailing Address - Phone:954-644-2662
Mailing Address - Fax:
Practice Address - Street 1:2800 S SHIRLINGTON RD STE 300
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3623
Practice Address - Country:US
Practice Address - Phone:703-844-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9327423363LF0000X
FLRN9327423163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily