Individual
JENNY CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 1116, NEWARK, DE 19713-2089
(302) 368-8612
Mailing address
115 LAUREN PL, NEWARK, DE 19702-2950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0045345
DE
363LP0200X
Pediatric Nurse Practitioner
Primary
LJ-0000330
DE
Other
Enumeration date
07/25/2017
Last updated
03/17/2018
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