Individual
JENNIFER B ENTREKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1070, NEWARK, DE 19718-2200
(302) 733-1663
(302) 733-1616
Mailing address
4755 OGLETOWN STANTON RD STE 1070, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0042328
DE
363L00000X
Nurse Practitioner
LP-0000129
DE
363LG0600X
Gerontology Nurse Practitioner
Primary
LP-0000129
DE
Other
Enumeration date
03/04/2015
Last updated
11/08/2018
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