Individual provider · Type 1 NPI

Lataya De Jesus, NP

Family Nurse Practitioner · Beachwood, OH

NPI number 1154071264 Active

Practice location

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318

Mailing address

PO Box 211699
Eagan, MN 55121-3699

Other practice locations

  • 807 Farson St Ste 203A, Belpre, OH 45714-1069 · (740) 568-5687

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11051706 (FL)
Family Nurse Practitioner 363LF0000X4044149 (KY)
Family Nurse Practitioner 363LF0000X113014 (WV)
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.0031356 (OH)
Prevention Professional 405300000X0000837 (OH)
Family Nurse Practitioner 363LF0000X5024121 (NC)
Family Nurse Practitioner 363LF0000X10061260 (OR)
Family Nurse Practitioner 363LF0000X1214857 (TX)
Family Nurse Practitioner 363LF0000X327525 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1154071264

Lataya De Jesus, NP's National Provider Identifier is 1154071264, issued on Mar 24, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beachwood, OH. The record was last updated on Oct 22, 2026.