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Individual

JACQUELINE W MWANGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
121 BECKS WOODS DR STE 200, BEAR, DE 19701-3852
(302) 834-7676
Mailing address
5 BROOKLAND AVE, WILMINGTON, DE 19805-1109
(434) 227-8979

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0044515
DE
363LF0000X
Family Nurse Practitioner
AC004595
MD
363LF0000X
Family Nurse Practitioner
Primary
LG-0012090
DE

Other

Enumeration date
07/03/2022
Last updated
01/24/2023
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