Provider Demographics
NPI:1487130233
Name:TUTURICE, JENNA NICOLE (FNP)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:NICOLE
Last Name:TUTURICE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S COLLEGE AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-1324
Mailing Address - Country:US
Mailing Address - Phone:302-273-0727
Mailing Address - Fax:302-273-0845
Practice Address - Street 1:550 S COLLEGE AVE STE 115
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-1324
Practice Address - Country:US
Practice Address - Phone:302-273-0727
Practice Address - Fax:302-273-0845
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR266599363LF0000X, 163W00000X
DELG-0012759363LF0000X
DEL1-0048433163W00000X
PASP018494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse