JESSE BONTRAGER
NPI 1326761966
Nurse Practitioner - Family in Dover, DE
Active since September 20, 2022
About Jesse Bontrager NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE BONTRAGER (NPI 1326761966) is an individual family provider in Dover, Delaware, licensed in Delaware (LG-0012133) and active in the NPI registry since September 2022.
NPPES Registry Identity
NPI1326761966
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESSE BONTRAGER
Location Address740 S NEW STDover, DE 19904-3571
Mailing Address740 S New StDover, DE 19904-3571 · (302) 674-0222 · Fax (302) 674-0200
Phone(302) 674-0222
Fax(302) 674-0200
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1326761966 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in DE · LG-0012133
740 S NEW ST, Dover, DE 19904
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Ambulatory Surgical)
740 S NEW ST, SUITE B
DOVER, DE 19904
DOVER, DE 19904
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326761966, enumerated as an "individual" on September 20, 2022.
The provider is located at 740 S NEW ST DOVER, DE 19904 and the phone number is (302) 674-0222.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
