| Jeremy Legates, PMHNP-BC | |
| 1305 Mcd Dr, Dover, DE 19901-4699 | |
| (302) 883-2926 | |
| (302) 883-3799 | 
| Full Name | Jeremy Legates | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1305 Mcd Dr, Dover, Delaware | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073089801 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | L1-0054237 (Delaware) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | L8-0010461 (Delaware) | Primary | 
| Entity Name | The Mind And Body Consortium, Llc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316186539 PECOS PAC ID: 9739234014 Enrollment ID: O20090910000340 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeremy Legates, PMHNP-BC 302 Woodsedge Ln, Felton, DE 19943-9542 Ph: (443) 710-2139 | Jeremy Legates, PMHNP-BC 1305 Mcd Dr, Dover, DE 19901-4699 Ph: (302) 883-2926 | 
| Jonelle Murph,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 487 S Queen St, Dover, DE 19904 Phone: 302-665-0265 Fax: 302-412-9116 | |
| Abigail Kozhuharov,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 S State St, Dover, DE 19901 Phone: 302-674-4700 | |
| Mrs. Angela Erin Knotts, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1673 S State St Ste B, Dover, DE 19901 Phone: 855-527-7246 Fax: 866-229-5063 | |
| Michelle L Leite, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Banning St Ste 270, Dover, DE 19904 Phone: 302-674-1999 | |
| Lisa Anne Wullschleger, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 River Rd, Kent County Public Health Family Planning, Dover, DE 19901 Phone: 302-739-4728 Fax: 302-739-7735 | |
| Linda Ann Ashley, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Beiser Blvd Ste 201, Dover, DE 19904 Phone: 302-678-7438 Fax: 302-678-7434 | |
| Mrs. Matilda Korkor Decker,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 E Loockerman St Ste 204, Dover, DE 19901 Phone: 302-666-9806 |