Individual
JESSICA K. EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 HACKBERRY DRIVE, FELTON, DE 19943
(302) 222-4577
Mailing address
55 HACKBERRY DR, FELTON, DE 19943-6111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
LI-0048000
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LI-0048000
STATE OF DELAWARE
DE
Enumeration date
06/08/2017
Last updated
06/08/2017
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