Jessica Lauren Del Vecchio
Nurse Practitioner - Family Medicine
1021 Morehead Medical Dr Suite A
Charlotte
, North Carolina 28204-2990
Jessica Lauren Del Vecchio
Nurse Practitioner - Family Medicine
1021 Morehead Medical Dr Suite A
Charlotte
, North Carolina 28204-2990
(704) 355-5800
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Jessica Lauren Del Vecchio
- Po Box 602120
- Charlotte, NC
- Zip : 28260-2120
- Fax : (704) 355-5800
- Phone : (980) 442-2000
Second Address
- Jessica Lauren Del Vecchio
- 1021 Morehead Medical Dr Suite A
- Charlotte, NC
- Zip : 28204-2990
- Fax : (704) 355-5800
- Phone : (980) 442-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 268791 | NC |
National Provider Identifier
| NPI | 1003220518 |
|---|---|
| Provider Name | Jessica Lauren Del Vecchio |
| First Address | Charlotte, NC 28260-2120 |
| Second Address | Charlotte, NC 28204-2990 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2014 |
| Last Update Date | 24/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003220518 | (05) | NC |
| 268791 | NC MEDICAID LICENSE (01) | NC |
| NP2818 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.