Individual
JEREMY BRITT-VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3303 LATROBE DR, CHARLOTTE, NC 28211-4869
(704) 362-2663
Mailing address
3303 LATROBE DR, CHARLOTTE, NC 28211-4869
(704) 362-2663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010391
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5010391
NC
Other
Enumeration date
03/21/2018
Last updated
08/09/2024
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