Healthcare Provider Details

I. General information

NPI: 1700751351
Provider Name (Legal Business Name): ALLISON PEPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 GLASGOW AVE STE 124
NEWARK DE
19702-4776
US

IV. Provider business mailing address

1 N CONGRESS ST
PORT PENN DE
19731-3101
US

V. Phone/Fax

Practice location:
  • Phone: 302-836-4200
  • Fax: 302-836-8431
Mailing address:
  • Phone: 302-685-2481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberL1-0051054
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: