Individual
MRS. JODI KAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 2E99, NEWARK, DE 19718
(302) 733-1087
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0001073
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0027101
REGISTERED NURSE LICENSE
DE
01
—
LG-0001073
FAMILY NP LICENSE
DE
Enumeration date
01/10/2018
Last updated
06/26/2018
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