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Contact Information

JENNIFER SHADE, NP-C
16529 COASTAL HWY
LEWES, DE19958-3696
 Phone: 302-684-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JENNIFER SHADE · (Female)

NPI Number 1730577388
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 01/06/2015
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • DE License # APN0001844
  • DE License # L1-0035220
  • DE License # LP-0000240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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