Baloyo, Joemel Jay Mediavilla

Baloyo, Joemel Jay Mediavilla is an sole proprietor health care provider with primary practice located at 200 Tarpon Trl , Jacksonville NC 28546-5287. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Baloyo, Joemel Jay Mediavilla can be contacted via phone (910) 938-1114.

Contact Information

Primary practice address
200 Tarpon Trl Jacksonville NC 28546-5287
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5019214 North Carolina

Profile Details

NPI number 1588437065
LBN Legal business name Baloyo, Joemel Jay Mediavilla
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2023
Last updated Dec 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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