Provider Demographics
NPI:1548979495
Name:MCMUNN, MORGAN JANEL (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:JANEL
Last Name:MCMUNN
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-774-3740
Mailing Address - Fax:336-774-3780
Practice Address - Street 1:3333 BROOKVIEW HILLS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5661
Practice Address - Country:US
Practice Address - Phone:336-774-3740
Practice Address - Fax:336-774-3780
Is Sole Proprietor?:No
Enumeration Date:2022-11-18
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0001277447163W00000X
NC5021081363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse