Jaclyn N Bajek, FNP
Individual provider Active NPI Family Nurse Practitioner · Belmont, NC
NPI 1710239397 · NPPES record last updated Mar 2, 2022
Key facts
- NPI
- 1710239397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 213946 (NC)
- Practice address
- 9034 Wing Pointe Dr
Belmont, NC 28012-6736 - Phone
- (704) 674-3511
- Fax
- (704) 479-6514
- NPI assigned
- Oct 8, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213946 | NC | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 5005842 | NC | |
| Family Nurse Practitioner | 363LF0000X | 213946 | NC | Yes |
Addresses
Primary practice location
9034 Wing Pointe Dr
Belmont, NC 28012-6736
Mailing address
13640 Steelecroft Pkwy
Charlotte, NC 28278-7796
Phone (704) 674-3511
Other providers in Belmont, NC
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- Valantina Awah Nsoh
- Evelyn Maiers Bailey
- Deborah Evelyn Baker
- Tracei Denise Ball
- Allison T Bansen
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- Kara Elizabeth Barrett
All providers in Belmont, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.