Jonathan Labayo Desamero, FNP | |
3715 Union Rd, Gastonia, NC 28056-8044 | |
(704) 854-8202 | |
Not Available |
Full Name | Jonathan Labayo Desamero |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3715 Union Rd, Gastonia, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003804972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 201824 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 201824 (North Carolina) | Primary |
Entity Name | Carolinas Physicians Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
Entity Name | Carolina Medicorp Enterprises Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190 |
Entity Name | Carolinas Physicians Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Mailing Address | Practice Location Address |
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Jonathan Labayo Desamero, FNP Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Jonathan Labayo Desamero, FNP 3715 Union Rd, Gastonia, NC 28056-8044 Ph: (704) 854-8202 |
Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313 | |
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294 | |
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948 | |
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228 | |
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274 | |
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150 |