Individual
MR. JON DABU VERCELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Mailing address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03175
NC
363AM0700X
Medical Physician Assistant
0010-03175
NC
363AM0700X
Medical Physician Assistant
PA824
NV
363AS0400X
Surgical Physician Assistant
Primary
0010-03175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100500023
NVMEDICAID
NV
05
—
100502898
—
NV
01
—
VWCHKL
NORIDIAN
NV
Enumeration date
02/07/2006
Last updated
09/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us