Individual provider · Type 1 NPI
Jerise Atock Agha, NP
Gerontology Nurse Practitioner · Middletown, DE
NPI number
1275160566
Active
Practice location
12 Pennington St Ste 100
Middletown, DE 19709-1026
Mailing address
111 Tuscany Dr
Middletown, DE 19709-7855
Other practice locations
- 7307 Fossil Lake Dr, Arlington, TX 76002-4713 · (302) 373-6887
- 901 Harry S Truman Dr N, Upper Marlboro, MD 20774-5477 · (240) 677-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AC005200 (MD) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | LP-0000365 (DE) |
| Acute Care Nurse Practitioner | 363LA2100X | 845356 (TX) |
Gerontology Nurse Practitioner: Definition to come...
5 other providers at this address
- Abuwen Infusion and HealthcareNurse Practitioner Middletown, DE NPI 1386416642
- Imperial Psychiatric Services LLCMulti-Specialty Clinic/Center Middletown, DE NPI 1366214157
- TikariAdult Health Nurse Practitioner Middletown, DE NPI 1871431551
- Ekor Wonah Odaji, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Middletown, DE NPI 1215750609
- Emelda Fri Njei, CRNP-PMHPsychiatric/Mental Health Nurse Practitioner Middletown, DE NPI 1861851602
Other gerontology nurse practitioner providers in Middletown
About NPI 1275160566
Jerise Atock Agha, NP's National Provider Identifier is 1275160566, issued on Mar 25, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Middletown, DE. The record was last updated on Aug 11, 2026.