Healthcare Provider Details

I. General information

NPI: 1932024684
Provider Name (Legal Business Name): GEORGE JULIUS OYOMBE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N BROAD ST
MIDDLETOWN DE
19709-1045
US

IV. Provider business mailing address

1343 GOLDENEYE DR
NEW CASTLE DE
19720-8925
US

V. Phone/Fax

Practice location:
  • Phone: 302-747-0939
  • Fax:
Mailing address:
  • Phone: 484-557-6075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0011211
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: