Cannon, Amanda

Cannon, Amanda is an individual health care provider with primary practice located at 101 E 2Nd St , Kenly NC 27542-7794. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Cannon, Amanda can be contacted via phone (919) 284-4025.

Contact Information

Primary practice address
101 E 2Nd St Kenly NC 27542-7794
Fax: (919) 284-5965
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 5007198 North Carolina

Profile Details

NPI number 1245632157
LBN Legal business name Cannon, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2014
Last updated May 14th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers