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NICOLE DENEEN MUNN
NPI 1457170755
Pathology - Clinical Laboratory Director, Non-physician in Jacksonville, FL

Active since October 04, 2024
5628 DART DR, JACKSONVILLE, FL 32244(904) 479-0857 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Deneen Munn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DENEEN MUNN (NPI 1457170755) is an individual clinical laboratory director, non-physician in Jacksonville, Florida and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1457170755
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameNICOLE DENEEN MUNN
Location Address5628 DART DRJacksonville, FL 32244-1404
Mailing Address5628 Dart DrJacksonville, FL 32244-1404 · (904) 479-0857
Phone(904) 479-0857
Sole ProprietorNo
Enumeration DateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1457170755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
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.
Also ListedTechnician, Pathology · Medical LaboratoryTaxonomy 246RM2200X
5628 DART DR, Jacksonville, FL 32244
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Munn's NPI number?

The NPI number for Nicole Munn is 1457170755. It was assigned to this individual provider in the NPPES registry on October 4, 2024.

Where is Nicole Munn located?

Nicole Munn practices at 5628 Dart Dr, Jacksonville, FL 32244. The listed phone number is (904) 479-0857.

What is Nicole Munn's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Nicole Munn was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.