Individual provider · Type 1 NPI
Nicole Deneen Munn
Clinical Laboratory Director (Non-physician) · Jacksonville, FL
NPI number
1457170755
Active
Practice location
5628 Dart Dr
Jacksonville, FL 32244-1404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Laboratory Technician | 246RM2200X | None listed |
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Other clinical laboratory director (non-physician) providers in Jacksonville
About NPI 1457170755
Nicole Deneen Munn's National Provider Identifier is 1457170755, issued on Oct 4, 2024. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 4, 2024.