Meredith Emily Decesare, NP-C

Nurse Practitioner · Valdosta, GA

Individual Active NPI

NPI number 1104382092

Practice location

2263 Pineview Dr
Valdosta, GA 31602-7316
Phone
(229) 433-7000

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NPI record

NPI
1104382092
Entity type
Individual (Type 1)
Enumeration date
February 15, 2019
Last updated
February 15, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X RN242990 GA

Mailing address

1210 Lake Dr
Valdosta, GA 31602-1216
Phone
(229) 251-3867

About Meredith Decesare

Meredith Emily Decesare, NP-C is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2263 Pineview Dr, Valdosta, GA 31602-7316. The NPI number 1104382092 was assigned on February 15, 2019 and the record was last updated on February 15, 2019.

Meredith Decesare lists a license in the registry: #RN242990 (GA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Meredith Emily Decesare, NP-C?

The NPI number is 1104382092.

What is the phone number of Meredith Decesare?

The phone number listed for the practice location is (229) 433-7000.

Where is Meredith Decesare located?

2263 Pineview Dr, Valdosta, GA 31602-7316.

What is the taxonomy code for Meredith Decesare?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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