Provider Demographics
NPI:1952344996
Name:ZEKAN, JEANNE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:MARIE
Last Name:ZEKAN
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 1:404 WESTWOOD AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4316
Mailing Address - Country:US
Mailing Address - Phone:336-882-6500
Mailing Address - Fax:336-882-6501
Practice Address - Street 1:404 WESTWOOD AVE STE 105
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4316
Practice Address - Country:US
Practice Address - Phone:336-882-6500
Practice Address - Fax:336-882-6501
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38254207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990BOtherBLUE CROSS/BLUE SHIELD
NC898990BMedicaid
NC1952344996Medicaid
NC8990BOtherBLUE CROSS/BLUE SHIELD