DISA XAYAVONGSONE NP NPI 1487427886

NPI Information

NPI: 1487427886
Provider Name: DISA XAYAVONGSONE, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
107 INSTITUTE ST
JAMESTOWN, NY
ZIP 14701
Phone: (716) 484-4334
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Disa Xayavongsone, NP is a psychiatric/mental health nurse practitioner in Jamestown, NY. Disa Xayavongsone, NP NPI is 1487427886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 INSTITUTE ST
JAMESTOWN, NY
ZIP 14701-628
Phone: (716) 484-4334

The enumeration date for this NPI number is 11/7/2023 and was last updated on 11/7/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	404954	NEW YORK	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: 5/5/2024

NPI Synchronization or Removal

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