Individual
MONIQUE MITCHELL MUMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
190 KIMEL PARK DR STE 121, WINSTON SALEM, NC 27103-6946
(336) 718-7300
(336) 718-7309
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 287-7022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014372
NC
363LF0000X
Family Nurse Practitioner
F08200879
NC
Other
Enumeration date
04/22/2021
Last updated
04/17/2023
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