Healthcare Provider Details

I. General information

NPI: 1821507849
Provider Name (Legal Business Name): EMILY ACKISS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 09/29/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HEALTH SERVICES DR
SEAFORD DE
19973
US

IV. Provider business mailing address

800 HEALTH SERVICES DR
SEAFORD DE
19973
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-7293
  • Fax: 302-655-1907
Mailing address:
  • Phone: 302-655-7293
  • Fax: 302-655-1907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR260237
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberLH-0010304
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: