Provider Demographics
NPI:1518611953
Name:SAPP, JESSICA RYAN
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:RYAN
Last Name:SAPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8547 SOPHIES WAY
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:DE
Mailing Address - Zip Code:19960-2679
Mailing Address - Country:US
Mailing Address - Phone:302-670-4685
Mailing Address - Fax:
Practice Address - Street 1:8547 SOPHIES WAY
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:DE
Practice Address - Zip Code:19960-2679
Practice Address - Country:US
Practice Address - Phone:302-670-4685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0036896163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool