Individual provider · Type 1 NPI
Collins Fokum Fomunung, FNP
Family Nurse Practitioner · Matthews, NC
NPI number
1124414750
Active
Practice location
1130 Sam Newell Rd
Matthews, NC 28105-5039
Fax (833) 948-3597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5007564 (NC) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1124414750
Collins Fokum Fomunung, FNP's National Provider Identifier is 1124414750, issued on Apr 10, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Matthews, NC. The record was last updated on Mar 5, 2026.