Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Pettyjohn, NP

Individual provider Registered Nurse · NPI 1770950594

Nicole Pettyjohn, NP is a Nurse Practitioner in Wilmington, Delaware. Qualified in 2021, 5 years ago. Practices with Cardiology Physicians, LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
5
Licensed in
DE
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

501 Silverside Rd Ste 102
Wilmington, DE 19809-1376
Phone: (443) 383-9300
Fax: (855) 866-8710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence LG-0011811 (DE)
Registered Nurse Taxonomy 163W00000X · Licence L1-0047114 (DE)

Record details

NPI number1770950594
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 27, 2015
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cardiology Physicians, Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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