Individual
JAMES DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
10810 MALLARD CREEK RD, CHARLOTTE, NC 28262-9786
(704) 510-8000
(704) 510-8006
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009522
NC
Other
Enumeration date
05/03/2017
Last updated
03/02/2023
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