Healthcare Provider Details

I. General information

NPI: 1134920622
Provider Name (Legal Business Name): JEANNETTE DELGADO-RIVERA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 OGLETOWN STANTON RD
NEWARK DE
19713-2072
US

IV. Provider business mailing address

4735 OGLETOWN STANTON RD
NEWARK DE
19713-2072
US

V. Phone/Fax

Practice location:
  • Phone: 302-602-7000
  • Fax: 302-602-7012
Mailing address:
  • Phone: 267-259-7088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberLG-0012998
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0012998
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: