Individual provider · Type 1 NPI
Jesica Demumbreum, DNP, PMHNP-BC, IBCLC
Psychiatric/Mental Health Nurse Practitioner · Charlotte, NC
NPI number
1679985683
Active
Practice location
1977 J N Pease Pl Ste 202
Charlotte, NC 28262-4527
Fax (704) 665-5645
Mailing address
1977 J.n. Please Place, Suite 202
Charlotte, NC 28262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5017873 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679985683
Jesica Demumbreum, DNP, PMHNP-BC, IBCLC's National Provider Identifier is 1679985683, issued on May 24, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charlotte, NC. The record was last updated on Aug 12, 2026.