Gantt, Jendayi

Gantt, Jendayi is an individual health care provider with primary practice located at 601 New Castle Ave , Wilmington DE 19801-5821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gantt, Jendayi can be contacted via phone (302) 655-6187.

Contact Information

Primary practice address
601 New Castle Ave Wilmington DE 19801-5821
Phone: (302) 655-6187
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X LK-0000153 Delaware

Profile Details

NPI number 1235386939
LBN Legal business name Gantt, Jendayi
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2008
Last updated Dec 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235386939 NPPES
Maryland Other R163670 STATE LICENSE
Maryland Other LK-0000153 STATE LICENSE

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