Provider Demographics
NPI:1194619379
Name:KING, MEGAN LYNN (DNP, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:KING
Suffix:
Gender:F
Credentials:DNP, AGACNP-BC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:JACOBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1931
Mailing Address - Country:US
Mailing Address - Phone:715-928-1821
Mailing Address - Fax:
Practice Address - Street 1:10 RUSSELL RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-1931
Practice Address - Country:US
Practice Address - Phone:715-928-1821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program