| Jonathan Labayo Desamero, FNP | |
|
3715 Union Rd, Gastonia, NC 28056-8044 | |
| (704) 854-8202 | |
| Not Available |
| Full Name | Jonathan Labayo Desamero |
|---|---|
| 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 |
|---|---|
| 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 Llc |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 | |
Sonya Nanette Belin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Riverwood Pkwy Ste B, Gastonia, NC 28056 Phone: 047-874-9005 | |
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Cox Rd Ste 201, 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 |