Individual
JACQUELINE ELLEN ZINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
523 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 978-3560
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 978-3560
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2007-01093
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907144
—
NC
Enumeration date
08/31/2006
Last updated
03/27/2019
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