Individual provider · Type 1 NPI
Jessica Diane Delgado
Gerontology Nurse Practitioner · Maywood, IL
NPI number
1336839109
Active
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209030834 (IL) |
| Acute Care Nurse Practitioner | 363LA2100X | 432809 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1336839109
Jessica Diane Delgado's National Provider Identifier is 1336839109, issued on May 15, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Maywood, IL. The record was last updated on Jun 19, 2025.