JACOB RAYMOND JELLISON

WILMINGTON, DE
NPI1518469261
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: DE  LG-0001132)
Additional Taxonomies163W00000X Registered Nurse
(Licence: DE  L1-0047847)
Enumeration Date2018-03-08
Last Update Date2018-03-22
Business Address
JACOB RAYMOND JELLISON FNP
4512 KIRKWOOD HWY STE 300
WILMINGTON, DE 19808-5129
Phone number: 302-623-7500
Mailing Address
JACOB RAYMOND JELLISON FNP
200 HYGEIA DR STE 2300
NEWARK, DE 19713-2049
Phone number:
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