Provider Demographics
NPI:1811265853
Name:JENNINGS, JESSEY PARAYIL (FNP)
Entity type:Individual
Prefix:
First Name:JESSEY
Middle Name:PARAYIL
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:JESSEY
Other - Middle Name:PARAYIL
Other - Last Name:ABRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING, SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 W 14TH ST
Practice Address - Street 2:WILMINGTON HOSPITAL, EXTENDED STAY UNIT
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-428-4410
Practice Address - Fax:302-428-4078
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000550363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner