Individual provider · NPI-1

Jittu Abraham, NP

Nurse Practitioner · Newark, DE

NPI number1902569353
StatusActive
Last updated in NPPESOct 21, 2021

Details

NPI
1902569353
Entity type
Individual (NPI-1)
Name
Jittu Abraham
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2021
Certification date
Oct 5, 2021
Last updated
Oct 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerLG-0011788DEYes

Practice location

4923 Ogletown Stanton Rd Ste 200
Newark, DE 19713-2081

Phone 302-225-0451 · Fax 302-225-0472

Mailing address

4923 Ogletown Stanton Rd Ste 200
Newark, DE 19713-2081

Phone 302-225-0451 · Fax 302-225-0472

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Newark, DE