1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Nurse Practitioner
  6. NPI Profile

JESICA DEMUMBREUM MSN, PMHNP-BC, IBCLC
NPI 1679985683
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since May 24, 2014
1977 J N PEASE PL STE 202, CHARLOTTE, NC 28262(704) 817-8230(704) 665-5645 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesica Demumbreum Msn, Pmhnp-bc, Ibclc NPPES

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

JESICA DEMUMBREUM MSN, PMHNP-BC, IBCLC (NPI 1679985683) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5017873) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1679985683
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESICA DEMUMBREUMCredential: MSN, PMHNP-BC, IBCLC
Location Address1977 J N PEASE PL STE 202Charlotte, NC 28262-4527
Mailing Address1977 J.n. Please Place, Suite 202Charlotte, NC 28262 · (704) 817-8230 · Fax (704) 665-5645
Phone(704) 817-8230
Fax(704) 665-5645
Sole ProprietorYes
Enumeration DateMay 24, 2014
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1679985683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5017873
1977 J N PEASE PL STE 202, Charlotte, NC 28262
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. MARY'S HOME CARE SERVICES, INC
Home Health
1977 J N PEASE PL STE 202
CHARLOTTE, NC 28262
Mecklenburg County (704) 335-1900

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 Jesica Demumbreum's NPI number?

The NPI number for Jesica Demumbreum is 1679985683. It was assigned to this individual provider in the NPPES registry on May 24, 2014.

Where is Jesica Demumbreum located?

Jesica Demumbreum practices at 1977 J N Pease Pl Ste 202, Charlotte, NC 28262. The listed phone number is (704) 817-8230.

What is Jesica Demumbreum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Jesica Demumbreum accept?

Health plans from Blue Cross and Blue Shield of NC list Jesica Demumbreum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jesica Demumbreum was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.