Individual
MRS. MEGAN LYNN FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
10620 PARK RD STE 202, CHARLOTTE, NC 28210-0106
(704) 667-0920
Mailing address
302 PICKARD RD, SANFORD, NC 27330-6367
(314) 920-6177
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
367112
NC
163W00000X
Registered Nurse
840505
TX
363LP0200X
Pediatric Nurse Practitioner
209-031627
IL
363LP0200X
Pediatric Nurse Practitioner
29128
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
5019070
NC
363LP0200X
Pediatric Nurse Practitioner
AP121830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100312505
—
WI
Enumeration date
02/22/2012
Last updated
08/29/2025
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