Individual provider Active NPI

Jeffrey Christian Mulvenna, BSN, RN

  • General Practice Registered Nurse
  • Wilmington, DE
National Provider Identifier
1780450676
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
26NR19807400 Issued in NJ
Practice address
1809 W 16TH St
Wilmington, DE 19806-2520
Phone
(727) 278-2273
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 26NR19807400 NJ Primary

Addresses

Primary practice location

1809 W 16TH St
Wilmington, DE 19806-2520

Mailing address

1831 Delaware Ave
Wilmington, DE 19806-2357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR19807400NJMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nursecheck, LLC. CurrentSince May 19, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1780450676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 DELAWARE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W 16TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062520",
            "telephone_number": "727-278-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVENNA",
        "first_name": "JEFFREY",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR19807400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.