Ravi Jasti
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
155 Memorial Dr
Pinehurst
, North Carolina 28374-8710
Ravi Jasti
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
155 Memorial Dr
Pinehurst
, North Carolina 28374-8710
(919) 470-4000
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Ravi Jasti
- 3643 N Roxboro St
- Durham, NC
- Zip : 27704-2702
- Phone : (919) 470-4000
Second Address
- Ravi Jasti
- 155 Memorial Dr
- Pinehurst, NC
- Zip : 28374-8710
- Fax : (910) 715-1247
- Phone : (910) 715-2164
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 5006833 | NC |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5006833 | NC |
National Provider Identifier
| NPI | 1144649146 |
|---|---|
| Provider Name | Ravi Jasti |
| First Address | Durham, NC 27704-2702 |
| Second Address | Pinehurst, NC 28374-8710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2014 |
| Last Update Date | 24/09/2021 |
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.