Provider Demographics
NPI:1699084764
Name:HITCHENS, PATRICIA JO (RN , BSN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JO
Last Name:HITCHENS
Suffix:
Gender:F
Credentials:RN , BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELLENDALE
Mailing Address - State:DE
Mailing Address - Zip Code:19941-2066
Mailing Address - Country:US
Mailing Address - Phone:302-424-5660
Mailing Address - Fax:302-424-5661
Practice Address - Street 1:700 MAIN ST
Practice Address - Street 2:
Practice Address - City:ELLENDALE
Practice Address - State:DE
Practice Address - Zip Code:19941-2066
Practice Address - Country:US
Practice Address - Phone:302-424-5660
Practice Address - Fax:302-424-5661
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000167080163W00000X
DEL1-0036630163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEL1-0036630OtherRN LICENSE