Jacqueline Cannon, APRN, AGPCNP
NPI 1801696380 · Gerontology Nurse Practitioner · Raleigh, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Cannon, APRN, AGPCNP is a Gerontology Nurse Practitioner provider in Raleigh, NC (NPI 1801696380).
Provider details
- NPI number
- 1801696380
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, AGPCNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5021868 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-14
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Frequently asked questions
- What is Jacqueline Cannon's NPI number?
- Jacqueline Cannon's National Provider Identifier (NPI) is 1801696380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Cannon's specialty?
- Jacqueline Cannon is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Cannon located?
- Jacqueline Cannon's practice location on file with NPPES is 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417.
- What is Jacqueline Cannon's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Cannon is (855) 984-5121.
- Does Jacqueline Cannon accept Medicare?
- Jacqueline Cannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Cannon's NPI active?
- Yes — Jacqueline Cannon's NPI (1801696380) is active in the NPPES registry as of the last update on 2025-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.