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NPI Code Detail

MEDICARE: MONIQUE LEE NP

MEDICARE: MONIQUE LEE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner5021700NC

General Provider Information

NPI Number : 1487450946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE LEE NP
Provider Business Mailing Address
First Line : 107 W NASHVILLE DR STE A
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1289
Country : US
Telephone Number : 252-676-8285
Fax Number : 252-507-0771
Provider Business Practice Location Address
First Line : 107 W NASHVILLE DR STE A
Second Line :
City : NASHVILLE
State : NC
Zip : 27856-1289
Country : US
Telephone Number : 252-676-8285
Fax Number : 252-507-0771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2025
Last Update Date : 02/24/2025

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