Individual provider · Type 1 NPI
Nicole Pettyjohn, NP
Family Nurse Practitioner · Wilmington, DE
NPI number
1770950594
Active
Practice location
501 Silverside Rd Ste 102
Wilmington, DE 19809-1376
Fax (855) 866-8710
Mailing address
909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | L1-0047114 (DE) |
| Family Nurse Practitioner Primary | 363LF0000X | LG-0011811 (DE) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1770950594
Nicole Pettyjohn, NP's National Provider Identifier is 1770950594, issued on Aug 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wilmington, DE. The record was last updated on Mar 17, 2023.