Nicole Deneen Munn

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

5628 Dart Dr
Jacksonville, FL 32244-1404

Phone

(904) 479-0857

NPI assigned

Oct 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1457170755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 DART DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441404",
            "telephone_number": "904-479-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 DART DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441404",
            "telephone_number": "904-479-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNN",
        "first_name": "NICOLE",
        "middle_name": "DENEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bala Munipalli, M.D.
• Grazielle Muniz
• Jessica Marie Muniz
• Sandeep Munjal, MD
• Cameron Munn
• Robert Munnerlyn V, BT
• Braulio Oscar Munoz Diaz, DC
• Beau Munoz, MD
• Juan Carlos Munoz, MD
• Mikem Munoz

• Clinical Laboratory Director (Non-physician) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Laboratory Director (Non-physician) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.