person
Jesse Villanueva
Family Nurse Practitioner in Charlotte, North Carolina
NPI 1255737631

Jesse Villanueva is a Family Nurse Practitioner based in Charlotte, NC and is specialized in Family. Jesse Villanueva practices in Charlotte, NC. The NPI Number for Jesse Villanueva is 1255737631 and holds a License No. 5841 (North Carolina).

The current practice location address for Jesse Villanueva is 200 South College Street, Charlotte, NC and can be reached out via phone at 704-302-8800 and via fax at 704-632-4001.

Location: 200 South College Street, Charlotte, NC, 28260-1643
person
Provider Profile Details
NPI Number
1255737631
Provider Name
Jesse Villanueva
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 South College Street, Charlotte, NC, 28260-1643
Phone Number
704-302-8800
Fax Number
704-632-4001
Provider Enumeration Date
11/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP4174 05 SC
1255737631 05 NC
institution
Provider Business Practice Location Address Details
Address
200 South College Street
City
State
Zip
28202-2067
Phone Number
704-302-8800
Fax Number
704-632-4001
person
Provider Business Mailing Address Details
Address
200 South College Street
City
State
Zip
28202-2067
Phone Number
704-302-8800
Fax Number
704-632-4001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5841 (Connecticut)
Definition
Definition to come...
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