National Provider Identifier

Disa Xayavongsone, NP

Disa Xayavongsone, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 484-4334.

NPI 1487427886Jamestown, NYPsychiatric/Mental Health Nurse Practitioner

Source: public NPPES record, last updated March 02, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1487427886
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
November 07, 2023
Last Updated
March 02, 2026

Practice Location

  • 107 Institute St
  • Jamestown, NY 14701-6628

Phone: (716) 484-4334

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Registered Nurse (163W00000X)

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Biography

Disa Xayavongsone, NP, is a Jamestown nurse practitioner affiliated with The Chautauqua Center. She completed graduate nursing study at the University of Rochester, where she was listed among the School of Nursing Master of Science degree candidates in the university’s 2023 commencement program.

Full Record
NPI
1487427886
Entity Type
Individual
Last Name
Xayavongsone
First Name
Disa
Credential
NP
Mailing Street Address
107 Institute St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6628
Mailing Country
US
Practice Street Address
107 Institute St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-6628
Practice Country
US
Practice Phone
(716) 484-4334
Enumeration Date
November 07, 2023
Last Updated
March 02, 2026
Sex
Female
Sole Proprietor
No
Certification Date
March 02, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)