Organization
HEALTH SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA JACKSON CRNP (CEO)
(302) 275-9909
Entity
Organization
Contact information
Practice address
1204 DELAWARE ST., UNIT 1, NEW CASTLE, DE 19720
(302) 276-2160
(302) 544-4742
Mailing address
1204 DELAWARE ST., UNIT 1, NEW CASTLE, DE 19720
(302) 276-2160
(302) 544-4742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
DE
363LF0000X
Family Nurse Practitioner
—
PA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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