Jessica Renee' Mungo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

224467 Issued in SC

Practice address

27447 Cinderella Cir
Lancaster, SC 29720-8115

Phone

(803) 804-9972

NPI assigned

Dec 15, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1174487904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27447 CINDERELLA CIR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297208115",
            "telephone_number": "803-804-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27447 CINDERELLA CIR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297208115",
            "telephone_number": "803-804-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGO",
        "first_name": "JESSICA",
        "middle_name": "RENEE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "224467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morphis Pediatric Group of Lancaster, P.a.
• Kasaundra Morris, RN
• Lori C Moseley, DNP, FNP-BC, CDE
• Motormouth Pediatric Development, LLC
• Karen Kita Muldoon, PT
• Murdock Orthodontic Group. PA
• John Edmon Murdock, D.D.S., M.S.
• Anslee McDow Murray
• Lorrie Murray, RN
• Musc Community Physicians

• Registered Nurse in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.