JONATHAN LABAYO DESAMERO FNP NPI 1003804972

NPI Information

NPI: 1003804972
Provider Name: JONATHAN LABAYO DESAMERO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3715 UNION RD
GASTONIA, NC
ZIP 28056
Phone: (704) 854-8202
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Jonathan Labayo Desamero, FNP is a family nurse practitioner in Gastonia, NC with 22 years of experience. Jonathan Labayo Desamero, FNP NPI is 1003804972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3715 UNION RD
GASTONIA, NC
ZIP 28056-044
Phone: (704) 854-8202

The NPI 1003804972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		201824	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	201824	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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