Individual provider · Type 1 NPI

Monique Mitchell Mumford, FNP-C

Nurse Practitioner · Winston Salem, NC

NPI number 1083296867 Active

Practice location

190 Kimel Park Dr Ste 121
Winston Salem, NC 27103-6946

Fax (336) 718-7309

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 1630 Billy Dr, Winston Salem, NC 27107-2378 · (336) 287-7022

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF08200879 (NC)
Nurse Practitioner Primary 363L00000X5014372 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083296867

Monique Mitchell Mumford, FNP-C's National Provider Identifier is 1083296867, issued on Apr 22, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 17, 2023.