NICHOLAS ARLO VILLASANA
NPI 1104175157
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, NC

Q: What is Nicholas Villasana's NPI number?

The NPI number for Nicholas Villasana is 1104175157. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Q: What is Nicholas Villasana's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Active since September 06, 2012

403 HUFF DR, JACKSONVILLE, NC 28546(303) 547-6084 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Nicholas Arlo Villasana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS ARLO VILLASANA (NPI 1104175157) is an individual independent duty corpsman provider in Jacksonville, North Carolina and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1104175157

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameNICHOLAS ARLO VILLASANA

Location Address403 HUFF DRJacksonville, NC 28546-7430

Mailing Address403 Huff DrJacksonville, NC 28546-7430 · (303) 547-6084

Phone(303) 547-6084

Sole ProprietorNo

Enumeration DateSeptember 6, 2012

✔ NPI 1104175157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

403 HUFF DR, Jacksonville, NC 28546

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Villasana's NPI number?

The NPI number for Nicholas Villasana is 1104175157. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Nicholas Villasana located?

Nicholas Villasana practices at 403 Huff Dr, Jacksonville, NC 28546. The listed phone number is (303) 547-6084.

What is Nicholas Villasana's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Nicholas Villasana was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.