National Provider Identifier
Charles Dejesus
Charles Dejesus is listed in the NPPES registry with a primary specialty of Registered Nurse in Jamestown, NY and a listed phone number of (716) 661-1400.
Profile Overview
- NPI
- 1700548823
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- October 06, 2021
- Last Updated
- October 06, 2021
Practice Location
- 200 Dunham Ave
- Jamestown, NY 14701-2528
Phone: (716) 661-1400
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1700548823
- Entity Type
- Individual
- Last Name
- Dejesus
- First Name
- Charles
- Mailing Street Address
- 200 Dunham Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2528
- Mailing Country
- US
- Practice Street Address
- 200 Dunham Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2528
- Practice Country
- US
- Practice Phone
- (716) 661-1400
- Enumeration Date
- October 06, 2021
- Last Updated
- October 06, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)