SearchDelaware363L00000X

Jillian Mudry

NPI 1932653854 · on the registry since 2016 · sole proprietor

Practice

Address
96 Atlantic Ave Ste 103
Ocean View, DE 19970
Phone
(302) 402-3015
Organisation at this address
David Gannon, Dpm, Llc
Tidalhealth Primary Care, Llc
Tidalhealth Specialty Care, Llc
Atlantic General Hospital Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163W00000X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware