Individual
JAMIE SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 WINNERS CIR, MAGNOLIA, DE 19962-9753
(302) 388-3879
Mailing address
127 WINNERS CIR, MAGNOLIA, DE 19962-9753
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0037925
DE
163WC0200X
Critical Care Medicine Registered Nurse
L1-0037925
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125562
—
DE
Enumeration date
02/07/2019
Last updated
02/07/2019
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