Healthcare Provider Details

I. General information

NPI: 1316625411
Provider Name (Legal Business Name): JANELLE MAUREEN RESSLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BANNING ST STE 170
DOVER DE
19904-3491
US

IV. Provider business mailing address

50 PAYSAN LN
MAGNOLIA DE
19962-3692
US

V. Phone/Fax

Practice location:
  • Phone: 302-546-5533
  • Fax:
Mailing address:
  • Phone: 215-888-1928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0012383
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012383
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: