Individual
JEROME MICHAEL MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
18947 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971-4474
(302) 645-3770
(302) 645-5718
Mailing address
5501 OLD YORK RD, KORMAN-SUITE 202, PHILADELPHIA, PA 19141-3018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LP-0010842
DE
363L00000X
Nurse Practitioner
SP008831
PA
363LA2200X
Adult Health Nurse Practitioner
R150406
MD
363LA2200X
Adult Health Nurse Practitioner
SP008831
PA
Other
Enumeration date
12/13/2006
Last updated
12/23/2024
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