Individual provider · Type 1 NPI
Andrew Manuel De Jesus, MD
Student in an Organized Health Care Education/Training Program · Winston Salem, NC
NPI number
1982399135
Active
Practice location
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Fax (336) 716-2810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1982399135
Andrew Manuel De Jesus, MD's National Provider Identifier is 1982399135, issued on Apr 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 5, 2023.