Individual
MR. JOEMEL JAY MEDIAVILLA BALOYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
120 BRAEMAR CT, PINEHURST, NC 28374-7207
(910) 562-9882
(910) 562-9955
Mailing address
425 APRICOT LN, CARTHAGE, NC 28327-0225
(309) 513-1459
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5019214
NC
Other
Enumeration date
11/06/2023
Last updated
04/28/2025
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