Individual
JENNIFER L MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
640 S STATE ST, MAIL CODE 1127, DOVER, DE 19901-3530
(302) 744-7062
Mailing address
640 S STATE ST, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011416
DE
Other
Enumeration date
07/12/2019
Last updated
11/30/2023
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