Individual provider · Type 1 NPI

Jacqueline Fungayi Mawoneke, NP

Nurse Practitioner · Greensboro, NC

NPI number 1114457314 Active

Practice location

1100 E Wendover Ave
Greensboro, NC 27405-6713

Specialties and licenses

TaxonomyCodeLicense
Community Health Nurse Practitioner 363LC1500XNC5009506 (MD)
Nurse Practitioner Primary 363L00000X5009596 (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 1114457314

Jacqueline Fungayi Mawoneke, NP's National Provider Identifier is 1114457314, issued on Jun 20, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greensboro, NC. The record was last updated on Mar 12, 2024.