Provider Demographics
NPI:1366175283
Name:JENIO, FRANK ZACKARY (MS, NBC-HWC)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:ZACKARY
Last Name:JENIO
Suffix:
Gender:M
Credentials:MS, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 N WASHINGTON ST APT 406
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3313
Mailing Address - Country:US
Mailing Address - Phone:910-578-3500
Mailing Address - Fax:
Practice Address - Street 1:899 N WASHINGTON ST APT 406
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3313
Practice Address - Country:US
Practice Address - Phone:910-578-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3630684171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach