JACOB RAYMOND JELLISON FNP NPI 1518469261

NPI Information

NPI: 1518469261
Provider Name: JACOB RAYMOND JELLISON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CHRISTIANA CARE HEALTH SERVICES INC

PECOS Registration: Yes

Address:
4512 KIRKWOOD HWY STE 300
WILMINGTON, DE
ZIP 19808
Phone: (302) 623-7500
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Jacob Raymond Jellison, FNP is a family nurse practitioner in Wilmington, DE with 7 years of experience. Jacob Raymond Jellison, FNP NPI is 1518469261. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4512 KIRKWOOD HWY STE 300
WILMINGTON, DE
ZIP 19808-129
Phone: (302) 623-7500
Fax: (302) 623-7505

The NPI 1518469261 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 3/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		L1-0047847	DELAWARE	No
2	363LF0000X	Nurse Practitioner	Family	LG-0001132	DELAWARE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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