Provider Demographics
NPI:1376342873
Name:FULGHUM, MONICA EVE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:EVE
Last Name:FULGHUM
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 BROOKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-7569
Mailing Address - Country:US
Mailing Address - Phone:252-361-5114
Mailing Address - Fax:252-361-5114
Practice Address - Street 1:2706 BROOKWOOD RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-7569
Practice Address - Country:US
Practice Address - Phone:252-361-5114
Practice Address - Fax:252-361-5114
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2025004757363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health