IndividualActive
Naneka Kennon Pam, REGISTERED NURSE
NPI 1265062335 · Registered Nurse · Rex, GA
Provider details
- NPI number
- 1265062335
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN275536 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
3469 Henley St
Rex, GA 30273-1758
Phone: (404) 552-1125
Approximate (ZIP-level) locationGet directions
Mailing address
3469 Henley St
Rex, GA 30273-1758
Registry dates
- Enumerated
- 2020-01-17
- Last updated
- 2020-01-17
- Certified
- 2020-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.