Individual
MS. JENNIFER DIANE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-2200
(302) 623-0188
(302) 733-5640
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
291983
NC
363L00000X
Nurse Practitioner
291983
NC
363L00000X
Nurse Practitioner
5009295
NC
363L00000X
Nurse Practitioner
LP-0010911
DE
363LA2100X
Acute Care Nurse Practitioner
291983
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
LP-0010911
DE
Other
Enumeration date
02/13/2017
Last updated
09/15/2025
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