Individual
MRS. JACLYN MICHELLE CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
100 CLAYTON STREET, SUITE 500, PULMONARY ASSOCIATES, WILMINGTON, DE 19803
(302) 656-2296
Mailing address
203 BROMLEY DR, WILMINGTON, DE 19808-1375
(302) 256-0653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0030704
DE
163W00000X
Registered Nurse
RN557986
PA
363L00000X
Nurse Practitioner
LZ-0000113
DE
363LA2100X
Acute Care Nurse Practitioner
Primary
SP009771
PA
Other
Enumeration date
04/01/2008
Last updated
10/19/2009
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