Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Felicia Cannon, APRN, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1801696380

Jacqueline Felicia Cannon, APRN, AGPCNP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2024, 2 years ago. Practices with Goshen Medical Center Incorporated, a 91-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Phone: (855) 984-5121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 5021868 (NC)

Record details

NPI number1801696380
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGPCNP
Sole proprietorYes
NPI enumeratedMarch 14, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Goshen Medical Center Incorporated — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Raleigh