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NPI Code Detail

MEDICARE: JAYLA NICOLE MUNN MSW

MEDICARE: JAYLA NICOLE MUNN MSW
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
11041C0700XClinical Social WorkerP019309NC

General Provider Information

NPI Number : 1629762430
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLA NICOLE MUNN MSW
Provider Business Mailing Address
First Line : PO BOX 8879
Second Line :
City : ASHEVILLE
State : NC
Zip : 28814-8879
Country : US
Telephone Number : 866-700-1606
Fax Number : 866-338-5921
Provider Business Practice Location Address
First Line : 3800 ARCO CORPORATE DR STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4396
Country : US
Telephone Number : 866-700-1606
Fax Number : 866-338-5921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 11/13/2025

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