NPI 1104209469

Tawanda Jeannette Jeffcoat

Practitioner Health Maintenance Organization Wilmington, DE

Practice location

Address: 225 Filbert Ave, Wilmington, DE 19805-2549
Phone: (302) 543-3219

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 46-3211044 (DE)

Other Health Maintenance Organization providers in Delaware →

Registry record

NPI: 1104209469
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2015
Record last updated: 6 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.