Individual provider · NPI-1
Jeffrey Christian Mulvenna, BSN, RN
Registered Nurse, General Practice · Wilmington, DE
NPI number1780450676
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1780450676
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey Christian Mulvenna
- Credential
- BSN, RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2023
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 26NR19807400 | NJ | Yes |
Practice location
1809 W 16th StWilmington, DE 19806-2520
Phone 727-278-2273
Mailing address
1831 Delaware AveWilmington, DE 19806-2357
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