Whalio Doctors

NPI 1215087689

Leslie K Jackson, CRNA

Practitioner Anesthesiologist Assistant Wilmington, DE

Practice location

Address
1600 Rockland Road, Wilmington, DE 19803-3607
Phone
(302) 651-4200
Fax
(302) 651-5365
Mailing address
P O Box 191, Rockland, DE 19723-0191

Registered specialties (3)

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence L6-0A00529 (DE)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN1004822 (DC)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence L6-0A00529 (DE)

Registry record

NPI
1215087689
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jan 2007
Record last updated
3 Oct 2023

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.