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NPI Profile for JACQUELINE F CANNON in RALEIGH, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1801696380 |
|
| Status | Active | |
| Credentials | APRN, AGPCNP | |
| Entity | Individual | |
| Enumeration date | 03/14/2025 | |
| Last updated | 03/24/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACQUELINE F CANNON
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JACQUELINE F CANNON, APRN, AGPCNP