Healthcare Provider Details

I. General information

NPI: 1417019597
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF DELAWARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N SHIPLEY ST
WILMINGTON DE
19801-2228
US

IV. Provider business mailing address

625 N SHIPLEY ST
WILMINGTON DE
19801-2228
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-7296
  • Fax: 302-655-1907
Mailing address:
  • Phone: 302-655-7296
  • Fax: 302-655-1907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA THOMAS WILSON
Title or Position: V.P. OF FINANCE
Credential: MBA, MA
Phone: 302-655-7296