Healthcare Provider Details

I. General information

NPI: 1831847177
Provider Name (Legal Business Name): CLINICAL NURSE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 05/03/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 WILMINGTON RD STE F
HISTORIC NEW CASTLE DE
19720-3685
US

IV. Provider business mailing address

710 WILMINGTON RD STE F
HISTORIC NEW CASTLE DE
19720-3685
US

V. Phone/Fax

Practice location:
  • Phone: 302-213-0477
  • Fax:
Mailing address:
  • Phone: 302-213-0477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. DECARLA PEARSALL
Title or Position: OWNER
Credential: BSN, RN, CMDCP, CGCP
Phone: 302-213-0477