MEDICARE: MEGAN BUTTS-JENKINS RN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5024495	NC

General Provider Information

NPI Number	:	1760362420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN BUTTS-JENKINS RN

Provider Business Mailing Address
First Line	:	2911 BREEZEWOOD AVE STE 201
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5464
Country	:	US
Telephone Number	:	910-491-0166
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 BREEZEWOOD AVE STE 201
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5464
Country	:	US
Telephone Number	:	910-491-0166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	05/18/2026

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