Provider Demographics
NPI:1225178577
Name:JONES, DENISE WACHTER (RN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:WACHTER
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36002 CHESTER CT
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-5277
Mailing Address - Country:US
Mailing Address - Phone:302-945-1114
Mailing Address - Fax:302-857-6704
Practice Address - Street 1:1200 N DUPONT HWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-2202
Practice Address - Country:US
Practice Address - Phone:302-857-7551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10022640261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health