Individual provider · Type 1 NPI
Jesse Villanueva
Family Nurse Practitioner · Charlotte, NC
NPI number
1255737631
Active
Practice location
200 South College Street, Suite 500
Charlotte, NC 28202-2067
Fax (704) 632-4001
Mailing address
P.o.box 601643
Charlotte, NC 28260-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5841 (CT) |
| Family Nurse Practitioner | 363LF0000X | 285489 (NC) |
| Family Nurse Practitioner | 363LF0000X | 5008751 (NC) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1255737631
Jesse Villanueva's National Provider Identifier is 1255737631, issued on Nov 12, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 3, 2017.