Jacob Raymond Jellison, FNP | |
4512 Kirkwood Hwy Ste 300, Wilmington, DE 19808-5129 | |
(302) 623-7500 | |
(302) 623-7505 |
Full Name | Jacob Raymond Jellison |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 4512 Kirkwood Hwy Ste 300, Wilmington, Delaware |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518469261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | L1-0047847 (Delaware) | Secondary |
363LF0000X | Nurse Practitioner - Family | LG-0001132 (Delaware) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christiana Hospital | Newark, DE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christiana Care Health Services Inc | 9739097569 | 1265 |
Entity Name | Christiana Care Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770568107 PECOS PAC ID: 9739097569 Enrollment ID: O20031201000477 |
Entity Name | Christiana Care Health Services Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1760811681 PECOS PAC ID: 9739097569 Enrollment ID: O20150120001440 |
Mailing Address | Practice Location Address |
---|---|
Jacob Raymond Jellison, FNP 200 Hygeia Dr Ste 2300, Newark, DE 19713-2049 Ph: () - | Jacob Raymond Jellison, FNP 4512 Kirkwood Hwy Ste 300, Wilmington, DE 19808-5129 Ph: (302) 623-7500 |
Geetanjali Chatterjee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 N Washington St Ste 300, Wilmington, DE 19801 Phone: 302-320-5700 | |
Ms. Janine M. Catanach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Alfred I. Dupont Hospital For Children, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-5068 | |
Mr. Kristopher Starr, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 W 14th St, Emergency Department, Wilmington, DE 19801 Phone: 302-320-4180 Fax: 302-575-1714 | |
Miss Nadine Lindsay, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Lancaster Ave Ste E, Wilmington, DE 19805 Phone: 302-467-1778 Fax: 302-482-1790 | |
Olamide Abiodun Vincent, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Concord Pike, Wilmington, DE 19803 Phone: 484-408-5168 Fax: 877-383-8544 | |
Michelle Lauer, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3521 Silverside Rd Ste 2f1, Wilmington, DE 19810 Phone: 302-224-1400 | |
Aimee Stumpo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Concord Pike Ste 78, Wilmington, DE 19803 Phone: 302-887-1266 |