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Organization
TIKARI
Active
Organization
TIKARI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERISE ATOCK AGHA NURSE PRACTITIONER (PROVIDER)
(302) 130-2203
Entity
Organization
Contact information
Practice address
12 PENNINGTON ST STE 100, MIDDLETOWN, DE 19709-1026
(302) 203-7113
Mailing address
12 PENNINGTON ST STE 100, MIDDLETOWN, DE 19709-1026
(302) 203-7113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
09/08/2026
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