Provider Demographics
NPI:1134920622
Name:DELGADO-RIVERA, JEANNETTE (FNP)
Entity type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:
Last Name:DELGADO-RIVERA
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LISA DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3753
Mailing Address - Country:US
Mailing Address - Phone:267-259-7088
Mailing Address - Fax:
Practice Address - Street 1:405 SILVERSIDE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-1774
Practice Address - Country:US
Practice Address - Phone:844-365-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0012998208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine