NPI 1114654472 · live from the CMS NPI Registry
Jillian Coleen Abbott, FNP-C
Nurse Practitioner, Family in Selbyville, DE. National Provider Identifier 1114654472, active.
NPI record
| NPI | 1114654472 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 36450 Tidal Rd, Selbyville, DE 19975 |
| Practice phone | 302-291-6045 |
| Enumerated | August 5, 2022 |
| Last updated | June 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | LG-0012089 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.