Provider Demographics
NPI:1518003862
Name:MULLER, JEANNE LOUISE (FNP)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:LOUISE
Last Name:MULLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 S. DUPONT HWY, SUITE 4
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:DE
Mailing Address - Zip Code:19934
Mailing Address - Country:US
Mailing Address - Phone:302-450-3447
Mailing Address - Fax:
Practice Address - Street 1:2116 S. DUPONT HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-4711
Practice Address - Country:US
Practice Address - Phone:302-450-3447
Practice Address - Fax:302-450-3452
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000343363LF0000X
DELG-0000323363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEQ35659Medicare UPIN