Individual
MRS. MEGAN HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196602
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
0024175801
VA
363LP0200X
Pediatric Nurse Practitioner
19092
SC
Other
Enumeration date
09/24/2014
Last updated
04/04/2025
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