CHENITRA JACK NPI 1972316958

NPI Information

  • NPI: 1972316958
  • Provider Name: CHENITRA JACK
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: 10 DREW CT
    DOVER, DE
    ZIP 19901
  • Phone: (302) 760-3048

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NPI Details

Chenitra Jack is an intellectual and developmental disabilities in Dover, DE. Chenitra Jack NPI is 1972316958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 DREW CT
DOVER, DE
ZIP 19901-422
Phone: (302) 760-3048

The enumeration date for this NPI number is 1/31/2025 and was last updated on 1/31/2025.

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
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

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: 11/21/2025

NPI Synchronization or Removal

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