Amanda Cannon
Amanda Cannon is a Nurse Practitioner in Kenly, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2014, 12 years ago. Practices with Comprehensive Rehab of Wilson, Inc, a 118-clinician group. Licensed in North Carolina.
- Years since qualifying
- 12
- Trained at
- Brody School of Medicine at East Carolina University
- Licensed in
- NC
- In the registry since
- 2014
Practice location Address checks out
101 E 2nd StKenly, NC 27542-7794
Phone: (919) 284-4025
Fax: (919) 284-5965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Clinical Nurse Specialist (primary) | Taxonomy 364SA2200X · Licence 5007198 (NC) |
|---|
Record details
| NPI number | 1245632157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 23, 2014 |
| Last updated in NPPES | May 14, 2015 |
| Mailing address | Po Box 275, Kenly, NC 27542-0275 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY |
| Graduated | 2014 (12 years in practice) |
| Group practice | Comprehensive Rehab Of Wilson, Inc. — 118 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |