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

Kristal M Cannici, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1174490122

Kristal M Cannici, FNP-BC is a Nurse Practitioner in Dover, New Jersey. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

375 E McFarlan St Ste 2
Dover, NJ 07801-3628
Phone: (973) 366-5859
Fax: (973) 366-0026
Show map & directions

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

Additional practice locations (1)

  • 703 Main St, Paterson, NJ 07503-2621 — (973) 754-2000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15396200 (NJ)

Record details

NPI number1174490122
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 22, 2025
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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