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Individual

JENNIFER MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, EMT-P

Contact information

Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
18805 BETHPAGE DR, LEWES, DE 19958-4851
(817) 897-5991

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
137629
TX
163WE0003X
Emergency Registered Nurse
Primary
647990
TX

Other

Enumeration date
08/13/2018
Last updated
08/13/2018
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