Healthcare Provider Details

I. General information

NPI: 1932333465
Provider Name (Legal Business Name): JENNIFER ANN HURD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17015 OLD ORCHARD RD UNIT 2
LEWES DE
19958-4849
US

IV. Provider business mailing address

17015 OLD ORCHARD RD UNIT 2
LEWES DE
19958-4849
US

V. Phone/Fax

Practice location:
  • Phone: 302-684-2000
  • Fax: 302-364-1968
Mailing address:
  • Phone: 302-684-2000
  • Fax: 302-364-1968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0010047
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: