Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Zion Medical and Nursing Services, PA

Organization Family Nurse Practitioner · NPI 1316160641

Mt Zion Medical and Nursing Services, PA is a Family Nurse Practitioner in Matthews, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 Sam Newell Rd Ste B
Matthews, NC 28105-5040
Phone: (704) 900-7761
Fax: (704) 668-0039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1316160641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Collins Fomunung — Owner · (704) 900-7761
NPI enumeratedApril 11, 2007
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address1130 Sam Newell Rd Ste B, Matthews, NC 28105-5040

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