JESSE VILLANUEVA NPI 1255737631

NPI Information

NPI: 1255737631
Provider Name: JESSE VILLANUEVA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
200 SOUTH COLLEGE STREET
SUITE 500
CHARLOTTE, NC
ZIP 28202
Phone: (704) 302-8800
Get Directions

Jesse Villanueva is a family nurse practitioner in Charlotte, NC. Jesse Villanueva NPI is 1255737631. 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:

200 SOUTH COLLEGE STREET
SUITE 500
CHARLOTTE, NC
ZIP 28202-067
Phone: (704) 302-8800
Fax: (704) 632-4001

The enumeration date for this NPI number is 11/12/2014 and was last updated on 3/3/2017.

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	363LF0000X	Nurse Practitioner	Family	285489	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	5008751	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	5841	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1255737631	MEDICAID	NORTH CAROLINA
2	NP4174	MEDICAID	SOUTH CAROLINA
3	NCV275A	MEDICARE PIN	NORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »