Healthcare Provider Details

I. General information

NPI: 1487130233
Provider Name (Legal Business Name): JENNA NICOLE TUTURICE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2018
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S COLLEGE AVE STE 115
NEWARK DE
19713-1324
US

IV. Provider business mailing address

550 S COLLEGE AVE STE 115
NEWARK DE
19713-1324
US

V. Phone/Fax

Practice location:
  • Phone: 302-273-0727
  • Fax: 302-273-0845
Mailing address:
  • Phone: 302-273-0727
  • Fax: 302-273-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR266599
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012759
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0048433
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR266599
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP018494
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: