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Amanda Cannon
Adult Health Clinical Nurse Specialist in Kenly, North Carolina
NPI 1245632157

Amanda Cannon is an Adult Health Clinical Nurse Specialist based in Kenly, NC and is specialized in Adult Health. Amanda Cannon practices in Kenly, NC. The NPI Number for Amanda Cannon is 1245632157 and holds a License No. 5007198 (North Carolina).

The current practice location address for Amanda Cannon is 101 E 2Nd St, Kenly, NC and can be reached out via phone at 919-284-4025 and via fax at 919-284-5965.

Location: 101 E 2Nd St, Kenly, NC, 27542-0275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245632157
Provider Name
Amanda Cannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 E 2Nd St, Kenly, NC, 27542-0275
Phone Number
919-284-4025
Fax Number
919-284-5965
Provider Enumeration Date
09/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 E 2Nd St
City
Kenly
State
North Carolina
Zip
27542-7794
Phone Number
919-284-4025
Fax Number
919-284-5965
person
Provider Business Mailing Address Details
Address
101 E 2Nd St
City
Kenly
State
North Carolina
Zip
27542-7794
Phone Number
919-284-4025
Fax Number
919-284-5965
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
364SA2200X
License No.
5007198 (North Carolina)
Definition
Definition to come...
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