IndividualActive
Amanda Cannon
NPI 1245632157 · Adult Health Clinical Nurse Specialist · Kenly, NC
Provider details
- NPI number
- 1245632157
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5007198 (NC)
Practice location
101 E 2nd St
Kenly, NC 27542-7794
Phone: (919) 284-4025
Fax: (919) 284-5965
Mailing address
Po Box 275
Kenly, NC 27542-0275
Registry dates
- Enumerated
- 2014-09-23
- Last updated
- 2015-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.