JESSICA FERN


Address: 56 Putter Way, Camden Wyoming, DE 19934-4007
Phone: 3022706471

JESSICA FERN (NPI# 1700325313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700325313
Entity Type Individual
Full Name JESSICA FERN
Credential CNP
Practice Address 56 Putter Way
Camden Wyoming
DE 19934-4007
Practice Telephone 3022706471
Mailing Telephone 3022706471
Enumeration Date 2017-02-15
Last Update Date 2017-02-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
020526 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 56 PUTTER WAY
City CAMDEN WYOMING
State DE
Zip Code 19934-4007

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942540083 Lum Mercy Maximuangu Nurse Practitioner 660 Baylor Blvd, New Castle, DE 19720-1140 2013-02-27
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1922508902 Alissa Gregersen Nurse Practitioner 640 S State St, Dover, DE 19901-3530 2018-02-16
1760929509 Caitlin Marchini Hylton Nurse Practitioner 34381 Carpenters Way, Lewes, DE 19958 2017-01-31
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1538418918 Tiffany Rhoda Tullis Nurse Practitioner 640 South State Street, Dover, DE 19901 2012-08-31
1508177809 Elizabeth Lynne Frederick Nurse Practitioner 33664 Bayview Medical Dr Unit 2, Lewes, DE 19958-1687 2010-07-01
1134302235 Tricia L Delnay Nurse Practitioner 540 S Governors Ave Ste 201, Dover, DE 19904-3530 2007-12-11
1417961228 Nancy Lee Gaines-dillard Nurse Practitioner 4735 Ogletown Stanton Road, Suite 3301, Newark, DE 19713 2006-07-28
1568415909 Karen J Russell Nurse Practitioner 1100 Forrest Ave, Dover, DE 19904-3309 2006-05-18
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Competitor

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City CAMDEN WYOMING
Zip Code 19934

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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