Healthcare Provider Details

I. General information

NPI: 1801876578
Provider Name (Legal Business Name): DANIELLE JEROME RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 STEEPLECHASE CIR
WILMINGTON DE
19808-1977
US

IV. Provider business mailing address

232 STEEPLECHASE CIR
WILMINGTON DE
19808-1977
US

V. Phone/Fax

Practice location:
  • Phone: 302-598-3900
  • Fax:
Mailing address:
  • Phone: 302-598-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN-0011214
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: