Healthcare Provider Details

I. General information

NPI: 1356140933
Provider Name (Legal Business Name): NP AT YOUR SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 REDSTONE CT
FELTON DE
19943-7415
US

IV. Provider business mailing address

124 REDSTONE CT
FELTON DE
19943-7415
US

V. Phone/Fax

Practice location:
  • Phone: 302-387-9046
  • Fax: 302-451-9974
Mailing address:
  • Phone: 302-387-9046
  • Fax: 302-451-9974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. JASMINE WALKER
Title or Position: CEO
Credential: APRN, FNP-C
Phone: 302-387-9046