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

Monique Mitchell Mumford, FNP-C

Individual provider Family Nurse Practitioner · NPI 1083296867

Monique Mitchell Mumford, FNP-C is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2020, 6 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

190 Kimel Park Dr Ste 121
Winston Salem, NC 27103-6946
Phone: (336) 718-7300
Fax: (336) 718-7309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1630 Billy Dr, Winston Salem, NC 27107-2378 — (336) 287-7022

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5014372 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F08200879 (NC)

Record details

NPI number1083296867
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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