Jadasa Deleon

Individual provider Active NPI Case Management Registered Nurse · Clayton, DE

NPI 1982471504 · NPPES record last updated Dec 4, 2023

Key facts

NPI
1982471504
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
L1-0067568 (DE)
Practice address
168 Stoney Creek LN
Clayton, DE 19938-3956
Phone
(646) 294-7346
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L1-0067568DEMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X L1-0067568 DE Yes

Addresses

Primary practice location

168 Stoney Creek LN
Clayton, DE 19938-3956

Mailing address

168 Stoney Creek LN
Clayton, DE 19938-3956
Phone (646) 294-7346

Other providers in Clayton, DE

All providers in Clayton, DE · Case Management Registered Nurse in Delaware

Sources for this page

Verify at the official NPI Registry.