Individual
MRS. MEGAN KATHLEEN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
3404 WAKE FOREST RD, RALEIGH, NC 27609-7340
(919) 862-5402
(919) 954-3191
Mailing address
3404 WAKE FOREST RD, RALEIGH, NC 27609-7340
(919) 862-5402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014633
NC
363LA2200X
Adult Health Nurse Practitioner
5014633
NC
Other
Enumeration date
06/30/2021
Last updated
10/02/2025
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