Individual provider · Type 1 NPI

Jessica Renee' Mungo

Registered Nurse · Lancaster, SC

NPI number 1174487904 Active

Practice location

27447 Cinderella Cir
Lancaster, SC 29720-8115

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X224467 (SC)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174487904

Jessica Renee' Mungo's National Provider Identifier is 1174487904, issued on Dec 15, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lancaster, SC. The record was last updated on Dec 15, 2025.