Individual
KARA JO BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18068 COASTAL HWY, LEWES, DE 19958-4901
(302) 567-1500
Mailing address
18068 COASTAL HWY, LEWES, DE 19958-4901
(302) 567-1500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0012161
DE
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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