Individual
JEREMY LEGATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1305 MCD DR, DOVER, DE 19901-4699
(302) 883-2926
(302) 883-3799
Mailing address
302 WOODSEDGE LN, FELTON, DE 19943-9542
(443) 710-2139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0054237
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010461
DE
Other
Enumeration date
10/19/2018
Last updated
05/09/2025
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